Miss Supaporn Pathumanon

PMHNP | Nurse Practitioner - Psych/Mental Health

814 Larchmont Acres Apt D, Larchmont
  New York, 10538-7370
347-845-1857
May or may not accept Medicare Nurse Practitioner in Larchmont, New York.
Miss Supaporn Pathumanon is a Larchmont, New York based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Miss Supaporn Pathumanon is F406141-01 for Psych/Mental Health NP in New York. Her current practice location is 814 Larchmont Acres Apt D, Larchmont. Patients can reach her at 347-845-1857. Miss Supaporn Pathumanon is PMHNP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1477243392.
Miss Supaporn Pathumanon provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Miss Supaporn Pathumanon speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Miss Supaporn Pathumanon
Specialization: Nurse Practitioner - Psych/Mental Health (PMHNP)
Gender:Female
Credentials: PMHNP
Practice Address:814 Larchmont Acres Apt D, Larchmont,
New York, 10538-7370
Phone:347-845-1857
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
NPI Number: 1477243392
NPI Enumeration Date: 12 May, 2023
NPI Last Update On: 16 Mar, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Supaporn Pathumanon are as mentioned below.
License NumberSpecializationStateStatus
F406141-01Psych/Mental Health NP New YorkPrimary
738012Registered Nurse New YorkSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Miss Supaporn Pathumanon
814 Larchmont Acres Apt D,
Larchmont, New York
Zip: 10538-7370
Phone Number: 347-845-1857
Patients can reach Miss Supaporn Pathumanon at 814 Larchmont Acres Apt D, Larchmont, New York or can call to book an appointment on 347-845-1857.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.