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MISS SUPAPORN PATHUMANON PMHNP
NPI 1477243392
Nurse Practitioner - Psychiatric/Mental Health in Larchmont, NY

Active since May 12, 2023
814 LARCHMONT ACRES APT D, LARCHMONT, NY 10538(347) 845-1857 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 16, 2026, Sep 7, 2024, May 12, 2023 (3 updates tracked since 2023).

About Miss Supaporn Pathumanon Pmhnp NPPES

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

MISS SUPAPORN PATHUMANON PMHNP (NPI 1477243392) is an individual psychiatric/mental health provider in Larchmont, New York, licensed in New York (F406141-01) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1477243392
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS SUPAPORN PATHUMANONCredential: PMHNP
Location Address814 LARCHMONT ACRES APT DLarchmont, NY 10538-7370
Mailing Address814 Larchmont Acres Apt DLarchmont, NY 10538-7370 · (347) 845-1857
Phone(347) 845-1857
Sole ProprietorYes
Enumeration DateMay 12, 2023
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1477243392 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 · F406141-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 738012 (NY)
814 LARCHMONT ACRES APT D, Larchmont, NY 10538
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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 Supaporn Pathumanon's NPI number?

The NPI number for Supaporn Pathumanon is 1477243392. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Supaporn Pathumanon located?

Supaporn Pathumanon practices at 814 Larchmont Acres Apt D, Larchmont, NY 10538. The listed phone number is (347) 845-1857.

What is Supaporn Pathumanon'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 Supaporn Pathumanon was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.