Healthcare Provider Details

I. General information

NPI: 1073418299
Provider Name (Legal Business Name): PRINCIPIA PSYCHIATRIC SERVICES NP IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 WESTCHESTER AVE UNIT 2407
WHITE PLAINS NY
10604-3568
US

IV. Provider business mailing address

1137 WESTCHESTER AVE UNIT 2407
WHITE PLAINS NY
10604-3568
US

V. Phone/Fax

Practice location:
  • Phone: 914-330-3322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMAL ADELY
Title or Position: PSYCHIATRIC NP
Credential: PMHNP-BC, MSN
Phone: 914-330-3322