NORTH FORK NEUROPSYCHOLOGY NPI 1407261811

NPI Information

NPI: 1407261811
Provider Name: NORTH FORK NEUROPSYCHOLOGY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
633 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 512-2232
Get Directions

NORTH FORK NEUROPSYCHOLOGY is a mental health (including community mental health center) clinic center in Riverhead, NY. NORTH FORK NEUROPSYCHOLOGY NPI is 1407261811. The provider is registered as an organization entity type.

The provider's business location address is:

633 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901-727
Phone: (631) 512-2232
Fax: (480) 247-4658

The provider's authorized official is Celine Marie Paillot .
The authorized official title is Owner And Founder and has the following contact phone number (631) 512-2232.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 6/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	019026-1	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A300047139	MEDICARE PIN	NEW YORK
2	03319817	MEDICAID	NEW 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

NPI Synchronization or Removal

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