LAVENDER NEW JERSEY PSYCHIATRIC NURSE PRACTITIONER PC
NPI 1629922950
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lavender New Jersey Psychiatric Nurse Practitioner Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Lavender New Jersey Psychiatric Nurse Practitioner PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 32Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Lavender New Jersey Psychiatric Nurse Practitioner PC enrolled in Medicare?
Yes. Lavender New Jersey Psychiatric Nurse Practitioner PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lavender New Jersey Psychiatric Nurse Practitioner PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lavender New Jersey Psychiatric Nurse Practitioner PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 8 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.
# Lavender New Jersey Psychiatric Nurse Practitioner Pc · NPI 1629922950
Psychiatric/Mental Health organization in New York, New York. Organization record, active in the CMS NPPES registry since February 24, 2026.
## Identity
- **NPI:** 1629922950 (Entity type: Organization)
- **Enumerated:** February 24, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Brighid Gannon, CEO
## Practice location
- **Address:** 245 5TH AVE FL 3, New York, NY 10016-8728
- **Phone:** (855) 444-7258
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1629922950/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629922950) · Data from the CMS NPPES public registry.