Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lavender New York Nurse Practitioner in Psychiatry PC

Organization Family Nurse Practitioner · NPI 1821942160

Lavender New York Nurse Practitioner in Psychiatry PC provides Family Nurse Practitioner services in New York, New York. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

245 5th Ave Fl 3
New York, NY 10016-8728
Phone: (855) 444-7258
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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
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1821942160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brighid Gannon — Ceo · (855) 444-7258
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address22406 68th Ave W, Mountlake Terrace, WA 98043-2372

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