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POSITIVE CHANGE PSYCHIATRY PLLC NPI 1265821953


NPI Information

NPI: 1265821953
Provider Name: POSITIVE CHANGE PSYCHIATRY PLLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
175 JERICHO TPKE
SUITE 301
SYOSSET, NY
ZIP 11791
Phone: (516) 364-6500
Get Directions

POSITIVE CHANGE PSYCHIATRY PLLC is a psychiatry psychiatry neurology in Syosset, NY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. POSITIVE CHANGE PSYCHIATRY PLLC NPI is 1265821953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

175 JERICHO TPKE
SUITE 301
SYOSSET, NY
ZIP 11791-532
Phone: (516) 364-6500
Fax: (631) 465-9336

The provider's authorized official is Kamil Atta .
The authorized official title is Owner and has the following contact phone number (516) 364-6500.

The enumeration date for this NPI number is 1/18/2015 and was last updated on 1/18/2015.


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
12084P0800XPsychiatry & NeurologyPsychiatry242083NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102896459MEDICAIDNEW YORK

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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