MEDICARE: REMIND NP IN PSYCHIATRY AND FAMILY HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1841140811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMIND NP IN PSYCHIATRY AND FAMILY HEALTH PLLC

Provider Business Mailing Address
First Line	:	3942 ROCKWELL RD
Second Line	:
City	:	MARCELLUS
State	:	NY
Zip	:	13108-9640
Country	:	US
Telephone Number	:	315-924-6555
Fax Number	:	315-306-7737

Provider Business Practice Location Address
First Line	:	5108 VELASKO RD STE 2000
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13215-1982
Country	:	US
Telephone Number	:	315-924-7555
Fax Number	:	315-306-7737

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	RENEE NICKERSON
Credential	:	NP
Telephone Number	:	315-708-7461

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	03/23/2026

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