BRYAN LACKEY PMHNP-BC NPI 1891305645

NPI Information

NPI: 1891305645
Provider Name: BRYAN LACKEY, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
230 PARK AVE FL 3
NEW YORK, NY
ZIP 10169
Phone: (516) 505-7200
Get Directions

Bryan Lackey, PMHNP-BC is a psychiatric/mental health nurse practitioner in New York, NY with 4 years of experience. Bryan Lackey, PMHNP-BC NPI is 1891305645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 PARK AVE FL 3
NEW YORK, NY
ZIP 10169-018
Phone: (516) 505-7200
Fax: (949) 419-3482

The NPI 1891305645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2020 and was last updated on 8/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ01045800	NEW JERSEY	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	403117	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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