Elizabeth Barry, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Huntington, NY
NPI 1043334394 · NPPES record last updated Mar 3, 2017
Key facts
- NPI
- 1043334394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F400800 (NY)
- Practice address
- 790 Park Ave
Huntington, NY 11743-4516 - Phone
- (631) 427-3700
- Fax
- (631) 427-0287
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060317000229 | NY | Practitioner - Nurse Practitioner | 2163439035 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400800 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Residences and Essential Enterprises, Inc. | Current |
Accepting new patients | |
| Skills Unlimited, Inc. | Current |
Accepting new patients | |
| Family Residences & Essential Enterprises, Inc. | Current | Accepting new patients |
Locations
120 Plant Ave
Hauppauge, NY 11788
Phone (631) 273-1300
405 Locust Ave
Oakdale, NY 11769
Phone (631) 567-3320
191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804
Phone (516) 870-1665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400800 | NY | Yes |
Addresses
Primary practice location
790 Park Ave
Huntington, NY 11743-4516
Mailing address
790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3700
Other providers in Huntington, NY
- Douglas Barnaby
- Andrea Baron Yurkew
- Gabrielle Barone
- Renee Barriere
- Barros Counseling Group LLC
- Majegane Barry
- Lakesha L Bartlett
- Basavaraj V Desai MDPC
- Jean Basile
- Kimberly A Bastible
All providers in Huntington, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.