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

MS. Mary Alice Poupon, NPP

Individual provider Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1073949509

MS. Mary Alice Poupon, NPP is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in New York, New York. Practices as a sole proprietor. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2013
Specialties on file
4

Practice location Address checks out

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone: (833) 351-8255
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 002708 (CT)
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X · Licence 002708 (CT)
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X · Licence 7903263 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 7903263 (NY)

Record details

NPI number1073949509
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPP
Sole proprietorYes
NPI enumeratedSeptember 16, 2013
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025