Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUPAPORN PATHUMANON INC
NPI 1689583924
Nurse Practitioner - Psychiatric/Mental Health in Larchmont, NY

Active since September 02, 2026
814 LARCHMONT ACRES APT D, LARCHMONT, NY 10538(347) 845-1857 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Supaporn Pathumanon Inc NPPES

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

SUPAPORN PATHUMANON INC (NPI 1689583924) is a healthcare organization registered as a psychiatric/mental health in Larchmont, New York and active in the NPI registry since September 2026. The organization lists Supaporn Pathumanon, President, as its authorized official.

NPPES Registry Identity

NPI1689583924
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUPAPORN PATHUMANON INC
Location Address814 LARCHMONT ACRES APT DLarchmont, NY 10538-7370
Mailing Address814 Larchmont Acres Apt DLarchmont, NY 10538-7370 · (347) 845-1857
Organization SubpartNo
Authorized OfficialSupaporn PathumanonPresident · (347) 845-1857
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1689583924 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
814 LARCHMONT ACRES APT D, Larchmont, NY 10538

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Nurse Practitioner (Psychiatric/Mental Health)
814 LARCHMONT ACRES APT D
LARCHMONT, NY 10538

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 Inc's NPI number?

The NPI number for Supaporn Pathumanon Inc is 1689583924. It was assigned to this organization in the NPPES registry on September 2, 2026.

Where is Supaporn Pathumanon Inc located?

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

What is Supaporn Pathumanon Inc'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 Inc was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.