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MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC NPI 1114122991


NPI Information

NPI: 1114122991
Provider Name: MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
637 VETERANS HWY
SMITHTOWN, NY
ZIP 11787
Phone: (631) 656-9761
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MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC is a psychiatric/mental health nurse practitioner in Smithtown, NY. MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC NPI is 1114122991. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

637 VETERANS HWY
SMITHTOWN, NY
ZIP 11787-309
Phone: (631) 656-9761
Fax: (631) 656-9765

The provider's authorized official is Catherine Bridget Obrien .
The authorized official title is President and has the following contact phone number (631) 656-9761.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 1/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthF400083NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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