Organization Active NPI

North Fork Wellness NP in Psychiatry and Acute Care, PLLC

  • Mental Health Counselor
  • Wading River, NY
National Provider Identifier
1023915873
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.