- Practice location
- 109 W 27TH St Rm 5S, New York, NY 10001-6208
- Phone
- 833-351-8255
- Fax
- —
- Last updated
- April 30, 2025
Mary Alice Poupon is a Nurse Practitioner, Psych/Mental Health based in New York, NY. Mary Alice Poupon practices in New York, NY and has the professional credentials of NPP. The NPI Number for Mary Alice Poupon is 1073949509 and holds a License No. 002708 (CT). The current practice location address for Mary Alice Poupon is 109 W 27TH St Rm 5S, New York, NY 10001-6208 and can be reached out via phone at 833-351-8255.
Provider Profile Details
- NPI Number
- 1073949509
- Provider Name
- Mary Alice Poupon
- Credential
- NPP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 109 W 27TH St Rm 5S, New York, NY 10001-6208
- Phone Number
- 833-351-8255
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 16, 2013
- Last Update Date
- April 30, 2025
- Certification Date
- April 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 W 27TH St Rm 5S
New York, NY 10001-6208 - City
- New York
- State
- New York
- Zip
- 10001-6208
- Phone Number
- 833-351-8255
Provider Business Mailing Address Details
- Address
- 16 Georges Hill RD
Newtown, CT 06470-1036 - City
- Newtown
- State
- CT
- Zip
- 06470-1036
- Phone Number
- 203-364-7000
License Information
- License Number (1)
- 002708
- License State (1)
- CT
- Taxonomy (1)
- Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent · 364SP0807X
- License Number (2)
- 7903263
- License State (2)
- NY
- Taxonomy (2)
- Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent · 364SP0807X
- License Number (3)
- 7903263
- License State (3)
- NY
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (4)
- 002708
- License State (4)
- CT
- Taxonomy (4)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Mary A Poupon, NPP?
The NPI number of Ms. Mary A Poupon, NPP is 1073949509. It was assigned on September 16, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary A Poupon, NPP?
Ms. Mary A Poupon, NPP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 002708.
Where does Ms. Mary A Poupon, NPP practice?
The practice location is 109 W 27TH St Rm 5S, New York, NY 10001-6208. The office can be reached at 833-351-8255 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073949509 directly on the NPPES registry website.