KATRINA IM (NPI# 1619463890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619463890 |
| Entity Type | Individual |
| Full Name | KATRINA IM |
| Credential | PMHNP-BC |
| Practice Address |
800 Cross River Rd Katonah NY 10536 |
| Mailing Address |
800 Cross River Rd Katonah NY 10536-3549 |
| Practice Telephone | 5165781246 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 746849 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402462 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 CROSS RIVER RD |
| City | KATONAH |
| State | NY |
| Zip Code | 10536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600680 | Four Winds, Inc. | Psychiatric Hospital | 800 Cross River Rd, Katonah, NY 10536-3549 | 2005-06-27 |
| 1972117695 | Patrick Michael Higgins | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2020-09-01 |
| 1326663568 | Christina Freiman | Registered Nurse | 800 Cross River Rd, Katonah, NY 10536-3549 | 2020-06-13 |
| 1972127454 | Patricia Nguyen | Registered Nurse | 800 Cross River Rd, Katonah, NY 10536-3549 | 2020-06-01 |
| 1538796396 | Anna Keylina | Social Worker | 800 Cross River Rd, Katonah, NY 10536-3549 | 2020-03-23 |
| 1033757422 | Nadia Poon-woo | Registered Nurse | 800 Cross River Rd, Katonah, NY 10536-3549 | 2019-12-16 |
| 1346884673 | Marilisa St Fleur | Family Medicine | 800 Cross River Rd, Katonah, NY 10536-3549 | 2019-10-30 |
| 1063061604 | Ben Artin | Physician Assistant | 800 Cross River Rd, Katonah, NY 10536-3549 | 2019-09-06 |
| 1902469604 | Danyelle S Morston | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2019-04-17 |
| 1336611656 | Micah Bryan Engel | Registered Nurse | 800 Cross River Rd, Katonah, NY 10536-3549 | 2018-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538728951 | Stana-lea Weisburd | Registered Nurse | 2875 Route 35, Katonah, NY 10536 | 2019-06-10 |
| 1275011967 | Melissa Mcewan | Nurse Practitioner | Four Winds Hospital, 800 Cross River Rd, Katonah, NY 10536 | 2018-08-03 |
| 1205322864 | Inna Rabinowitz | Case Manager/Care Coordinator | 16 Mt Holly Rd E, Katonah, NY 10536 | 2018-07-07 |
| 1194253633 | Corinne Elissa Viscomi | Speech-Language Pathologist | 190 Goldens Bridge Rd Ste 5, Katonah, NY 10536 | 2017-05-29 |
| 1861740466 | Antoinette Pennino | Speech-Language Pathologist | 698 Cross River Road, Katonah, NY 10536 | 2012-08-29 |
| 1033498530 | Marlene Carneiro | Dietitian, Registered | 113 Whitlockville Rd, Katonah, NY 10536 | 2011-08-15 |
| 1851561427 | Martin Samuel Lipton | Internal Medicine | 10 North Lane, Katonah, NY 10536 | 2008-03-10 |
| 1790990729 | Rituparna Pati | Internal Medicine | 9 Logging Rd, Katonah, NY 10536 | 2007-05-12 |
| 1023220738 | Donald Edward Kalsched | Psychologist | 23 Parkway St, 3-a, Katonah, NY 10536 | 2007-05-04 |
| 1710199914 | Ethelvida Ciccone | Physical Therapist | 17 Primrose St, Katonah, NY 10536 | 2007-05-03 |
| Find all providers in zip 10536 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720480577 | Marissa Sarhadi | Nurse Practitioner | 5 North Ln, Katonah, NY 10536-2705 | 2014-09-24 |
| 1972117695 | Patrick Michael Higgins | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2020-09-01 |
| 1902469604 | Danyelle S Morston | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2019-04-17 |
| 1316424625 | Enoh Ekokotu | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2018-07-20 |
| 1265849202 | Magdalena Majcher-tascio | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2014-07-22 |
| 1174875421 | Melissa Hope Jacobson | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536 | 2012-10-11 |
| 1578841466 | Jill Bruning Hindes | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2011-07-27 |
| 1366772634 | Patricia Sayre | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2010-01-07 |
| 1538226667 | Mary-jo D. Weber | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536-3549 | 2007-01-01 |
| 1336217595 | Donna Davino | Nurse Practitioner | 800 Cross River Rd, Katonah, NY 10536 | 2006-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.