Individual provider Active NPI

Kenneth J. Reid, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrison, NY
National Provider Identifier
1992978308
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400984 Issued in NY
Practice address
275 North St
Act Team
Harrison, NY 10528-1140
Phone
(914) 925-5318
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400984 NY Primary

Addresses

Primary practice location

275 North St
Act Team
Harrison, NY 10528-1140

Mailing address

275 North St
Act Team
Harrison, NY 10528-1140
Phone (914) 925-5318

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180410002337 NY Practitioner - Nurse Practitioner 4880857689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph'S Hospital YonkersGroup PAC ID 0547156176, 59 clinicians

Practice addresses (Care Compare)

275 N St
Harrison, NY 10528-1140
Phone (914) 967-6500

Hospital & facility affiliations

  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400984NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Yonkers CurrentSince Jan 28, 2018 Accepting new patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St.Vincent' Hospital Westchester Psych CurrentSince Jan 28, 2018 Accepting new patients

Locations

275 North St
Harrison, NY 10528
Phone (914) 925-5211

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1992978308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "address_2": "ACT TEAM",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281140",
            "telephone_number": "914-925-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "address_2": "ACT TEAM",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281140",
            "telephone_number": "914-925-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.