Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue River Psychiatry NP PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1710633185

Blue River Psychiatry NP PLLC is a Psychiatric/Mental Health Nurse Practitioner in Kingston, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

369 Washington Ave
Kingston, NY 12401-3701
Phone: (914) 401-0008
Fax: (914) 401-0009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1710633185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mina Johnson — Practitioner · (914) 401-0008
NPI enumeratedFebruary 24, 2022
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address369 Washington Ave Ste 1a, Kingston, NY 12401-3701

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