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BLUE RIVER PSYCHIATRY NP PLLC
NPI 1710633185
Nurse Practitioner - Psychiatric/Mental Health in Kingston, NY

Active since February 24, 2022
369 WASHINGTON AVE, KINGSTON, NY 12401(914) 401-0008(914) 401-0009 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 26, 2023, Feb 24, 2022 (2 updates tracked since 2022).

About Blue River Psychiatry Np Pllc NPPES

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

BLUE RIVER PSYCHIATRY NP PLLC (NPI 1710633185) is a healthcare organization registered as a psychiatric/mental health in Kingston, New York and active in the NPI registry since February 2022. The organization lists Mina Johnson, Practitioner, as its authorized official.

NPPES Registry Identity

NPI1710633185
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLUE RIVER PSYCHIATRY NP PLLC
Location Address369 WASHINGTON AVEKingston, NY 12401-3701
Mailing Address369 Washington Ave Ste 1aKingston, NY 12401-3701 · (914) 401-0008 · Fax (914) 401-0009
Phone(914) 401-0008
Fax(914) 401-0009
Organization SubpartNo
Authorized OfficialMina JohnsonPractitioner · (914) 401-0008
Enumeration DateFebruary 24, 2022
Last NPPES UpdateMarch 14, 20242 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1710633185 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
369 WASHINGTON AVE, Kingston, NY 12401
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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

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 Blue River Psychiatry Np PLLC's NPI number?

The NPI number for Blue River Psychiatry Np PLLC is 1710633185. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Blue River Psychiatry Np PLLC located?

Blue River Psychiatry Np PLLC is located at 369 Washington Ave, Kingston, NY 12401. The listed phone number is (914) 401-0008.

What is Blue River Psychiatry 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 Blue River Psychiatry Np PLLC was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.