Behavioral Health Nurse Practitioner Psychiatric Services PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401327 Issued in NY

Legal business name

BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES PC

Practice address

28 Annandale Rd
Commack, NY 11725-1745

Phone

(631) 387-1496

Fax

(631) 893-4020

NPI assigned

Apr 7, 2015

Last updated

May 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Coane

Title

Office Manager

Phone

(631) 681-4754

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyliss A Martoccia, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, NY
  • NPI 1457661969
  Medicare reassignment NPD

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1043606015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ANNANDALE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251745",
            "telephone_number": "631-387-1496",
            "fax_number": "631-893-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ANNANDALE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251745",
            "telephone_number": "631-387-1496",
            "fax_number": "631-893-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "COANE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-681-4754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Anne Bavolar, MASPECIAL EDUCATION
• Job Becerra, P.T.
• Meghan Theresa Becker
• Loraine T Bedoya, RPH
• Shamim A Begum, MD
• Samantha Anne Beil, PA
• Carolina Bejarano Vargas, SA-C
• Doreen Marie Bellantoni, MA CCC-SLP
• Lewis Daobri Belleh, M.S., PT
• Neil Mark Bellovin IV, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Commack, NY
• Providers in Commack, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.