Active NPI
Patricia B Meyer, NP
- Psychiatric/Mental Health Nurse Practitioner
- Stony Brook, NY
National Provider Identifier
1013920933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F4001711
- Practice address
- 1212 Route 25a
Stony Brook, NY 11790 - Phone
- (631) 941-1388
- Fax
- (631) 689-3993
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Stony Brook, NY
- NPI 1710294632
-
- Mental Health Counselor
- Huntington, NY
- NPI 1154098663
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3771 Nesconset Hwy
Suite 101B
South Setauket, NY 11720-1155
Phone (631) 364-9909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090331000037 | NY | Practitioner - Nurse Practitioner | 4981761376 | Practice locations: Huntington, NY; South Setauket, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4001711 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Mental Health Counseling PC | Past | Accepting new patients | |
| Mitchell L. Steinberg D.P.M., PC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F4001711 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1212 Route 25a
Stony Brook, NY 11790
Mailing address
1212 Route 25a
Stony Brook, NY 11790
Phone (631) 941-1388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2016.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1013920933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 ROUTE 25A",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-941-1388",
"fax_number": "631-689-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 ROUTE 25A",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-941-1388",
"fax_number": "631-689-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "PATRICIA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F4001711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.