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

Miss. Supaporn Pathumanon, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477243392

Miss. Supaporn Pathumanon, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Larchmont, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

814 Larchmont Acres Apt D
Larchmont, NY 10538-7370
Phone: (347) 845-1857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406141-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 738012 (NY)

Record details

NPI number1477243392
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedMay 12, 2023
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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