Healthcare Provider Details

I. General information

NPI: 1437689015
Provider Name (Legal Business Name): STEVEN BARR PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 09/30/2026
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 NOTT STREET E. SUITE 3
NISKAYUNA NY
12309
US

IV. Provider business mailing address

5 HEMPHILL PLACE SUITE 121
MALTA NY
12020
US

V. Phone/Fax

Practice location:
  • Phone: 518-374-6263
  • Fax: 518-289-5225
Mailing address:
  • Phone: 518-289-5072
  • Fax: 518-289-5225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF402719
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number675701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: