Organization Active NPI

Compass NP in Psychiatry and Family Health NP, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coram, NY
National Provider Identifier
1083391007
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COMPASS NP IN PSYCHIATRY AND FAMILY HEALTH NP, PLLC
Practice address
1970 Route 112 Ste 6
Coram, NY 11727-2300
Phone
(631) 336-2166
Fax
(631) 336-2166
NPI assigned
Jun 30, 2023
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPASS NP IN PSYCHIATRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Michele Brunner, NPNPI 1306451687
Title
Owner
Phone
(631) 336-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1970 Route 112 Ste 6
Coram, NY 11727-2300

Mailing address

33 Tower Hill Ave
Farmingville, NY 11738-1912
Phone (631) 336-2166

Other names 1

  • Compass Family Health N.P., PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117001967 NY Part B Supplier - Clinic/Group Practice 9931638046 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NY

National Provider Directory

National Provider Directory

Locations

1970 Route 112
Ste 6
Coram, NY 11727
Phone (631) 451-1515

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1083391007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TOWER HILL AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381912",
            "telephone_number": "631-336-2166",
            "fax_number": "631-336-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ROUTE 112 STE 6",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272300",
            "telephone_number": "631-336-2166",
            "fax_number": "631-336-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS NP IN PSYCHIATRY AND FAMILY HEALTH NP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS NP IN PSYCHIATRY",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-336-2166",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Family Health N.P., PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.