Active NPI
Mary Zannitto
- Psychiatric/Mental Health Nurse Practitioner
- Queensbury, NY
National Provider Identifier
1972347417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 406033
- Practice address
- 25 Willowbrook Rd
Queensbury, NY 12804-5882 - Phone
- (518) 926-7100
- NPI assigned
- Jun 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406033 | NY | Primary |
Addresses
Primary practice location
25 Willowbrook Rd
Queensbury, NY 12804-5882
Mailing address
2155 State Route 22B
Morrisonville, NY 12962-3417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services North, Inc. | Current | Accepting new patients | |
| Behavioral Health Services North, Inc. | Current | Accepting new patients |
Locations
2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847
22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666
25 Willowbrook Rd
Queensbury, NY 12804
Phone (518) 793-9156
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morrisonville, NY
- NPI 1689621468
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Queensbury, NY
- NPI 1447005541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1972347417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 STATE ROUTE 22B",
"city": "MORRISONVILLE",
"state": "NY",
"postal_code": "129623417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WILLOWBROOK RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128045882",
"telephone_number": "518-926-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANNITTO",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-20",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "406033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.