Healthcare Provider Details

I. General information

NPI: 1972420271
Provider Name (Legal Business Name): AMY K. WHITMAN NP IN PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 STAFFORD RD
PLATTSBURGH NY
12901-6122
US

IV. Provider business mailing address

457 STAFFORD RD
PLATTSBURGH NY
12901-6122
US

V. Phone/Fax

Practice location:
  • Phone: 518-645-1022
  • Fax:
Mailing address:
  • Phone: 518-645-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMY KATHLEEN WHITMAN
Title or Position: OWNER/SOLE MEMBER
Credential: PMHNP-BC
Phone: 518-645-1022