Individual provider Active NPI

Megan A Vincent, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Station, NY
National Provider Identifier
1043054745
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405954-01 Issued in NY
Practice address
315 Walt Whitman Rd Ste 210
Huntington Station, NY 11746-4112
Phone
(631) 629-2879
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405954-01 NY Primary

Addresses

Primary practice location

315 Walt Whitman Rd Ste 210
Huntington Station, NY 11746-4112

Mailing address

315 Walt Whitman Rd Ste 210
Huntington Station, NY 11746-4112
Phone (631) 629-2879

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925002183 NY Practitioner - Nurse Practitioner 0042715542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

315 Walt Whitman Rd
Suite 210
Huntington Station, NY 11746-4112
Phone (631) 629-2879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F405954-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerging Path Nurse Practitioner in Psychiatry, PC Psychiatric/Mental Health CurrentSince Jul 16, 2025 Accepting new patients
Juliana Kanji Psychiatric Services Psychiatric/Mental Health PastSince Jun 1, 2024 Accepting new patients

Locations

315 Walt Whitman Rd
Ste 210
South Huntington, NY 11746
Phone (631) 629-2879

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1043054745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 210",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-629-2879",
            "fax_number": "631-674-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 210",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-629-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MEGAN",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405954-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.