NPI 1407674971 · live from the CMS NPI Registry
Aja Nicole Beam
Registered Nurse, Psych/Mental Health, Adult in New Hampton, NY. National Provider Identifier 1407674971, active.
NPI record
| NPI | 1407674971 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 2834 Route 17m, New Hampton, NY 10958 |
| Practice phone | 845-374-8700 |
| Mailing address | 91 Grand Ave, Middletown, NY 10940 |
| Enumerated | October 2, 2024 |
| Last updated | October 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 703831 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.