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SOUTHSIDE HOSPITAL DEPARTMENT OF PSYCHIATRY NPI 1881650869


NPI Information

NPI: 1881650869
Provider Name: SOUTHSIDE HOSPITAL DEPARTMENT OF PSYCHIATRY
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
301 E MAIN ST
BAY SHORE, NY
ZIP 11706
Phone: (631) 675-4149
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SOUTHSIDE HOSPITAL DEPARTMENT OF PSYCHIATRY is a psychiatry psychiatry neurology in Bay Shore, 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. SOUTHSIDE HOSPITAL DEPARTMENT OF PSYCHIATRY NPI is 1881650869. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 E MAIN ST
BAY SHORE, NY
ZIP 11706-408
Phone: (631) 675-4149

The provider's authorized official is Winifred B. Mack .
The authorized official title is Executive Director and has the following contact phone number (631) 968-9000.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 8/13/2008.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
22084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

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
101785395MEDICAIDNEW YORK
2W7D181MEDICARE PINNEW 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: 5/5/2024

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