Active NPI
North Fork Wellness NP in Psychiatry and Acute Care, PLLC
- Mental Health Counselor
- Wading River, NY
National Provider Identifier
1023915873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NORTH FORK WELLNESS NP IN PSYCHIATRY AND ACUTE CARE, PLLC
- Practice address
- 2042 N Country Rd Ste 204
Wading River, NY 11792-1639 - Phone
- (631) 856-2149
- Fax
- (631) 350-0311
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline Goss, DNP, PMHNP-BC, AGANP
- Title
- Nurse Practitioner
- Phone
- (631) 856-2149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2042 N Country Rd Ste 204
Wading River, NY 11792-1639
Mailing address
2042 N Country Rd Ste 204
Wading River, NY 11792-1639
Phone (631) 856-2149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1023915873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 N COUNTRY RD STE 204",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117921639",
"telephone_number": "631-856-2149",
"fax_number": "631-350-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2042 N COUNTRY RD STE 204",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117921639",
"telephone_number": "631-856-2149",
"fax_number": "631-350-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FORK WELLNESS NP IN PSYCHIATRY AND ACUTE CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A",
"authorized_official_last_name": "GOSS",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "631-856-2149",
"authorized_official_credential": "DNP, PMHNP-BC, AGANP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wading River, NY
- Neuromonitoring Oversight Associates Management
- New York Hands on Diagnostics Inc
- Anne Valerie Nienstedt, M.D.
- Julie A. Nolan
- North Fork Medical PLLC (Balanced Health & Wellness)
- North Shore Hematology Oncology Associates PC (New York Health)
- North Shore Hematology Oncology Associates PC
- Sabrina Nugdalla, DNP
- Christin O'Brien
- Danielle Patricia O'Shea, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.