MR. ROBERT W SOUTHARD NP NPI 1972695377

NPI Information

  • NPI: 1972695377
  • Provider Name: MR. ROBERT W SOUTHARD, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1380 ROANOKE AVE
    RIVERHEAD, NY
    ZIP 11901
  • Phone: (631) 369-0022

Map and Directions

Get Directions

NPI Details

MR. Robert W Southard, NP is a psychiatric/mental health nurse practitioner in Riverhead, NY. MR. Robert W Southard, NP NPI is 1972695377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1380 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901-098
Phone: (631) 369-0022
Fax: (631) 369-5336

The NPI 1972695377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)

The enumeration date for this NPI number is 9/29/2006 and was last updated on 12/10/2010.

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 HealthF400418NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S58673MEDICARE UPINNEW 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI