MEDICARE: BRITTANY JANE MAYER PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	408001	NY

General Provider Information

NPI Number	:	1144173808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY JANE MAYER PMHNP

Provider Business Mailing Address
First Line	:	174 PUTNAM DR
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-5162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 EXECUTIVE BLVD STE 104
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4162
Country	:	US
Telephone Number	:	914-825-6413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	04/07/2026

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