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General NPI Number Information
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NPI Number | 1558229757
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Entity Type | Organization
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Legal Business Name | ASSURED FAMILY HEALTH NURSE PRACTITIONER, NURSE PRACTITIONER IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 400 MAMARONECK AVE STE 400
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City | HARRISON
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State | NY
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Zip | 10528-2408
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Country | US
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Telephone | 914-201-3660
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Fax | 949-312-4592
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Provider Business Mailing Address
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Address Line | 600 MAMARONECK AVE STE 400
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City | HARRISON
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State | NY
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Zip | 10528-1613
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Country | US
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Telephone | 914-201-3660
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Fax | 949-312-4592
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Authorized Official
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Title or Position | PMHNP/FNP
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Name | CLAUDINE PASSARD
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Credential |
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Telephone | 917-569-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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