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WELL CHILD PSYCHIATRIC NP PLLC
NPI 1508514340
Nurse Practitioner - Psychiatric/Mental Health in Glens Falls, NY

Active since March 11, 2022
92 BROAD ST FL 2, GLENS FALLS, NY 12801(518) 480-4002 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Well Child Psychiatric Np Pllc NPPES

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

WELL CHILD PSYCHIATRIC NP PLLC (NPI 1508514340) is a healthcare organization registered as a psychiatric/mental health in Glens Falls, New York and active in the NPI registry since March 2022. The organization lists Debbra Pedersen, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1508514340
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELL CHILD PSYCHIATRIC NP PLLC
Location Address92 BROAD ST FL 2Glens Falls, NY 12801-4383
Mailing Address92 Broad St Fl 2Glens Falls, NY 12801-4383 · (518) 480-4002
Phone(518) 480-4002
Organization SubpartNo
Authorized OfficialDebbra PedersenCredentialing Specialist · (518) 631-8268
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1508514340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
92 BROAD ST FL 2, Glens Falls, NY 12801
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. TIA MARIE RUGGIERO LCSW
Social Worker (Clinical)
92 BROAD ST FL 2
GLENS FALLS, NY 12801
Warren County (518) 480-4002

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 Well Child Psychiatric Np PLLC's NPI number?

The NPI number for Well Child Psychiatric Np PLLC is 1508514340. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Well Child Psychiatric Np PLLC located?

Well Child Psychiatric Np PLLC is located at 92 Broad St Fl 2, Glens Falls, NY 12801. The listed phone number is (518) 480-4002.

What is Well Child Psychiatric Np PLLC'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 Well Child Psychiatric Np PLLC was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.