Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Lackey, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1891305645

Bryan Lackey, PMHNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Aldad Medical Nj PC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

230 Park Ave Fl 3
New York, NY 10169-0018
Phone: (516) 505-7200
Fax: (949) 419-3482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 River St, Hoboken, NJ 07030 — (201) 308-8252

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403117 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ01045800 (NJ)

Record details

NPI number1891305645
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 6, 2020
Last updated in NPPESAugust 14, 2022
Certification dateAugust 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aldad Medical Nj Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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