NPI Code Detail JSON Logo

1154268399 NPI number — TWO RIVERS HEALTH, NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH, PLLC

NPI Number: 1154268399
Health Care Provider/Practitioner: TWO RIVERS HEALTH, NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH, PLLC

Information about “1154268399” NPI (TWO RIVERS HEALTH, NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH, PLLC) exists in 1154268399 in HTML format HTML  |  1154268399 in plain Text format TXT  |  1154268399 in PDF (Portable Document Format) PDF  |  1154268399 in an XML format XML  formats.

NPI Number : 1154268399 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154268399",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TWO RIVERS HEALTH, NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4795 COMMERCIAL DR # 1011",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HARTFORD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13413-6211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-557-8193",
    "MailingAddressFaxNumber": "315-300-1347",
    "FirstLinePracticeLocationAddress": "18 JOHN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOHAWK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13407-1404",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-557-8193",
    "PracticeLocationAddressFaxNumber": "315-300-1347",
    "EnumerationDate": "05/04/2026",
    "LastUpdateDate": "05/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WINTLE",
    "AuthorizedOfficialFirstName": "BRITTIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/PMHNP",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP, PMHNP",
    "AuthorizedOfficialTelephoneNumber": "315-527-6755",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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