Provider Demographics
NPI:1023529369
Name:B.T.M. PSYCHIATRIC NP SERVICES, PLLC
Entity type:Organization
Organization Name:B.T.M. PSYCHIATRIC NP SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:FPMHNP-BC
Authorized Official - Phone:914-363-9299
Mailing Address - Street 1:11 W PROSPECT AVE
Mailing Address - Street 2:3RD FL. SUITE 5B
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2017
Mailing Address - Country:US
Mailing Address - Phone:914-363-9299
Mailing Address - Fax:914-243-1970
Practice Address - Street 1:11 W PROSPECT AVE, 3RD FL
Practice Address - Street 2:SUITE #5B
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550
Practice Address - Country:US
Practice Address - Phone:914-363-9299
Practice Address - Fax:914-243-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401398363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty