JR NURSE PRACTITIONER IN PSYCHIATRY, PLLC
NPI 1558169623
Nurse Practitioner - Psychiatric/Mental Health in Schenectady, NY

NPI Status: Active since March 05, 2025

Contact Information

430 FRANKLIN ST STE 2304
SCHENECTADY, NY
ZIP 12305
Phone: (518) 788-7983
Fax: (866) 616-2109

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About JR NURSE PRACTITIONER IN PSYCHIATRY, PLLC

This page provides the complete NPI Profile along with additional information for Jr Nurse Practitioner In Psychiatry, Pllc, a provider established in Schenectady, New York operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1558169623 assigned on March 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kenneth Edick Phd (Healthcare Administrator)

NPI
1558169623
Provider Name
JR NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Entity Type
Organization
Location Address
430 FRANKLIN ST STE 2304 SCHENECTADY, NY 12305
Location Phone
(518) 788-7983
Location Fax
(866) 616-2109
Mailing Address
99 HYDE BLVD BALLSTON SPA, NY 12020
Mailing Phone
(518) 368-1691
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2025
Last Update Date
03-05-2025
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A nurse practitioner (NP) like Jr Nurse Practitioner In Psychiatry, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNETH EDICK PHD

Authorized Official Title
HEALTHCARE ADMINISTRATOR
Authorized Official Phone
(518) 788-7983

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558169623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108261864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 2 + 6 + 1 + 8 + 6 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1558169623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518776657ANITA F. LOPES N.P., IN PSYCHIATRY, PLLC
Organization
Clinic/Center (Adult Mental Health)430 FRANKLIN ST STE 2304
SCHENECTADY, NY 12305
(518) 788-7983

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558169623, enumerated in the NPI registry as an "organization" on March 05, 2025

The provider is located at 430 Franklin St Ste 2304 Schenectady, Ny 12305 and the phone number is (518) 788-7983

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on March 05, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.