Provider Demographics
NPI:1164648382
Name:HILL, CATHERINE ROOKS (FNP,NPP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ROOKS
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP,NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 BART MERRILL RD
Mailing Address - Street 2:
Mailing Address - City:CADYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12918-3205
Mailing Address - Country:US
Mailing Address - Phone:518-897-2872
Mailing Address - Fax:518-897-2868
Practice Address - Street 1:63 BROAD ST
Practice Address - Street 2:BEHAVIORAL HEALTH SERVICES NORTH63
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-3315
Practice Address - Country:US
Practice Address - Phone:518-563-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332202363LF0000X
NYF400468363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1245446533OtherGROUP NPI FOR ADIRONDACK
NY02202537Medicaid
NY70138AOtherGROUP MEDICARE LEGACY NUM
NY02202537Medicaid