MR. BRYAN HOWARD QUACKENBUSH
NPI 1396496436
Nurse Practitioner - Psychiatric/Mental Health in Napanoch, NY

Active since January 11, 2022
750 BERME RD, NAPANOCH, NY 12458(845) 647-1670 Get Directions Write a Review

NPPES record last updated: August 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2022, Jan 11, 2022 (2 updates tracked since 2022).

About Mr. Bryan Howard Quackenbush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRYAN HOWARD QUACKENBUSH (NPI 1396496436) is an individual psychiatric/mental health provider in Napanoch, New York, licensed in New York (404392) and active in the NPI registry since January 2022. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396496436
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BRYAN HOWARD QUACKENBUSH
Location Address750 BERME RDNapanoch, NY 12458-2709
Mailing Address105 Belvedere RdBeacon, NY 12508-2421 · (845) 264-9708
Sole ProprietorYes
Enumeration DateJanuary 11, 2022
Last NPPES UpdateAugust 21, 20222 updates tracked since enumeration
NPPES CertifiedAugust 21, 2022
NPI 1396496436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 404392
Also ListedRegistered NurseTaxonomy 163W00000X · License RN676013 (PA), 702414 (NY)
750 BERME RD, Napanoch, NY 12458

Secondary Practice Locations 3

Location 1325 Riverside DrFallsburg, NY 12733-5308 · Phone (845) 434-2080
Location 2105 Belvedere RdBeacon, NY 12508-2421 · Phone (845) 264-9708
Location 39005 Old River RdMarcy, NY 13403-3000 · Phone (315) 765-3600

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
750 BERME RD
NAPANOCH, NY 12458
Physician Assistant
750 BERME RD
NAPANOCH, NY 12458
Physician Assistant (Medical)
750 BERME RD
NAPANOCH, NY 12458
Physician Assistant
750 BERME RD
NAPANOCH, NY 12458
Pharmacy
750 BERME RD
NAPANOCH, NY 12458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Quackenbush's NPI number?

The NPI number for Bryan Quackenbush is 1396496436. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Bryan Quackenbush located?

Bryan Quackenbush practices at 750 Berme Rd, Napanoch, NY 12458. The listed phone number is (845) 647-1670.

What is Bryan Quackenbush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bryan Quackenbush was last updated on August 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.