Blue River Psychiatry NP PLLC
NPI 1710633185 · Psychiatric/Mental Health Nurse Practitioner · Kingston, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue River Psychiatry NP PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Kingston, NY (NPI 1710633185).
Provider details
- NPI number
- 1710633185
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mina Johnson, Practitioner(914) 401-0008
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Blue River Psychiatry NP PLLC's NPI number?
- Blue River Psychiatry NP PLLC's National Provider Identifier (NPI) is 1710633185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue River Psychiatry NP PLLC?
- Blue River Psychiatry NP PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blue River Psychiatry NP PLLC located?
- Blue River Psychiatry NP PLLC's practice location on file with NPPES is 369 Washington Ave, Kingston, NY 12401-3701.
- What is Blue River Psychiatry NP PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue River Psychiatry NP PLLC is (914) 401-0008.
- Does Blue River Psychiatry NP PLLC accept Medicare?
- Blue River Psychiatry NP PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue River Psychiatry NP PLLC?
- The authorized official listed on Blue River Psychiatry NP PLLC's NPPES record is Mina Johnson, Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue River Psychiatry NP PLLC's NPI active?
- Yes — Blue River Psychiatry NP PLLC's NPI (1710633185) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.