# BLUE HERON INTEGRATIVE, NURSE PRACTITIONERS IN PSYCHIATRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Heron Integrative Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053180943
- **Authorized official:** OMER MARGOLIN NP (OWNER)
- **Authorized official phone:** (845) 584-5900

## Contact information

- **Practice address:** 124 MAIN ST STE B, NEW PALTZ, NY 12561-1551
- **Practice address phone:** (845) 584-5900
- **Mailing address:** 124 MAIN ST STE B, NEW PALTZ, NY 12561-1551
- **Mailing address phone:** (845) 584-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 11/06/2025