CAITLIN KEAVENY - NPI 1710790464 - Nurse Practitioner in New York, NY

Q: What is Caitlin Keaveny's NPI number?

The NPI number for Caitlin Keaveny is 1710790464. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Caitlin Keaveny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Keaveny was last updated on January 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Caitlin Keaveny NPPES

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

CAITLIN KEAVENY (NPI 1710790464) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (406547) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1710790464

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCAITLIN KEAVENY

Location Address1901 1ST AVENew York, NY 10029-7494

Mailing Address1901 1st AveNew York, NY 10029-7494 · (212) 423-7155

Phone(212) 423-6262

Sole ProprietorYes

Enumeration DateJanuary 28, 2025

NPPES CertifiedJanuary 28, 2025

✔ NPI 1710790464 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

License✔ Licensed in NY · 406547

1901 1ST AVE, New York, NY 10029

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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.

KENNETH BOMPAROLA PA

Physician Assistant