Provider Demographics
NPI:1578275277
Name:DOYLE NP IN PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:DOYLE NP IN PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:518-637-1358
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:KEENE VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12943-0669
Mailing Address - Country:US
Mailing Address - Phone:518-637-1358
Mailing Address - Fax:518-412-3553
Practice Address - Street 1:44 MARKET ST
Practice Address - Street 2:
Practice Address - City:KEENE VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12943-7700
Practice Address - Country:US
Practice Address - Phone:518-637-1358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty