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

Supaporn Pathumanon Inc

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1689583924

Supaporn Pathumanon Inc provides Psychiatric/Mental Health Nurse Practitioner services in Larchmont, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

814 Larchmont Acres Apt D
Larchmont, NY 10538-7370
Phone: (347) 845-1857
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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 number1689583924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Supaporn Pathumanon — President · (347) 845-1857
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026
Mailing address814 Larchmont Acres Apt D, Larchmont, NY 10538-7370

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