Provider Demographics
NPI:1982169991
Name:PATON, COURTNEY CARALYNN (PMHNP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CARALYNN
Last Name:PATON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 HENRY ST STE 8
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3232
Mailing Address - Country:US
Mailing Address - Phone:518-261-0420
Mailing Address - Fax:518-581-3182
Practice Address - Street 1:58 HENRY ST STE 8
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3232
Practice Address - Country:US
Practice Address - Phone:518-261-0420
Practice Address - Fax:518-581-3182
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402589363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health