LAVENDER NEW JERSEY PSYCHIATRIC NURSE PRACTITIONER PC
NPI 1629922950
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since February 24, 2026
245 5TH AVE FL 3, NEW YORK, NY 10016(855) 444-7258 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lavender New Jersey Psychiatric Nurse Practitioner Pc NPPES

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

LAVENDER NEW JERSEY PSYCHIATRIC NURSE PRACTITIONER PC (NPI 1629922950) is a healthcare organization registered as a psychiatric/mental health in New York, New York and active in the NPI registry since February 2026. The organization lists Brighid Gannon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629922950
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAVENDER NEW JERSEY PSYCHIATRIC NURSE PRACTITIONER PC
Location Address245 5TH AVE FL 3New York, NY 10016-8728
Mailing Address22406 68th Ave WMountlake Terrace, WA 98043-2372
Organization SubpartNo
Authorized OfficialBrighid GannonCeo · (855) 444-7258
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
NPI 1629922950 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
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
245 5TH AVE FL 3, New York, NY 10016

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 20

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

Dentist
245 5TH AVE FL 3
NEW YORK, NY 10016
Internal Medicine
245 5TH AVE FL 3
NEW YORK, NY 10016
Internal Medicine
245 5TH AVE FL 3
NEW YORK, NY 10016
Physical Therapist
245 5TH AVE FL 3
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
245 5TH AVE FL 3
NEW YORK, NY 10016
Family Medicine
245 5TH AVE FL 3
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
245 5TH AVE FL 3
NEW YORK, NY 10016
Clinic/Center (Medical Specialty)
245 5TH AVE FL 3
NEW YORK, NY 10016

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 Lavender New Jersey Psychiatric Nurse Practitioner PC's NPI number?

The NPI number for Lavender New Jersey Psychiatric Nurse Practitioner PC is 1629922950. It was assigned to this organization in the NPPES registry on February 24, 2026.

Where is Lavender New Jersey Psychiatric Nurse Practitioner PC located?

Lavender New Jersey Psychiatric Nurse Practitioner PC is located at 245 5th Ave Fl 3, New York, NY 10016. The listed phone number is (855) 444-7258.

What is Lavender New Jersey Psychiatric Nurse Practitioner PC'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 Lavender New Jersey Psychiatric Nurse Practitioner PC was last updated on February 24, 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.