Lydia St. Paul
Registered Nurse, Psych/Mental Health in Brooklyn, NY. Individual provider (NPI-1).
NPI number1891535530
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1891535530
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lydia St. Paul
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2024
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 531287 | NY | Yes |
Practice location
681 Clarkson AveBrooklyn, NY 11203-2199
Phone 718-221-7499
Mailing address
681 Clarkson AveBrooklyn, NY 11203-2199
Phone 718-221-7499
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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