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

Psychiatric Nurse Practitioner PC

Organization Family Nurse Practitioner · NPI 1518595727

Psychiatric Nurse Practitioner PC provides Family Nurse Practitioner services in New York, New York. Works from 4 locations. Registered with an NPI since 2020.

In the registry since
2020
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: (718) 757-0684
Fax: (855) 344-8343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 100 Pine St Ste 1250, San Francisco, CA 94111-5235 — (855) 444-7258
  • 6565 N Macarthur Blvd Ste 225, Irving, TX 75039-2482 — (855) 444-7258
  • 22406 68th Ave W, Mountlake Terrace, WA 98043-2372 — (855) 444-7258

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1518595727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brighid Gannon — Owner · (855) 444-7258
Other names Lavender; Lavender
NPI enumeratedApril 1, 2020
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address22406 68th Ave W, Mountlake Terrace, WA 98043-2372

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