Private Practice Psychiatry Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PRIVATE PRACTICE PSYCHIATRY SERVICES LLC

Practice address

67 E Main St
Riverhead, NY 11901-2422

Phone

(631) 392-4357

Fax

(631) 392-4358

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By 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

Ms. Deborah Petry, LCSW-RNPI 1497856108

Title

Counselor

Phone

(631) 392-4357

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Deborah M Petry, LCSW-R

  • Clinical Social Worker
  • Deer Park, NY
  • NPI 1497856108
  Authorized official Same address or phone
• Tomrul Tuzel, M.D.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1609898246
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1043869464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012422",
            "fax_number": "631-392-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012422",
            "telephone_number": "631-392-4357",
            "fax_number": "631-392-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE PRACTICE PSYCHIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "631-392-4357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Popow, LCSW
• Roy Prashad, D.O.
• Michael John Pratt, LMSW
• Scott M. Press, MD FACS
• Priscilla a. Lingard, LCSW Casac P.C. (Center for Legal And Social Empowerment)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, PC
• Prohealth Care Associates, LLP
• Prohealth Chiropractic Rehabilitation PC
• Prothera Medical

• Counselor in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.