Envision Psychiatric Nurse Practitioner PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC

Practice address

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233

Phone

(516) 988-0974

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Gordon, NPNPI 1083219471

Title

Owner

Phone

(516) 988-0974

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Tamara Gordon, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amityville, NY
  • NPI 1083219471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1093433898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 500",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-988-0974",
            "fax_number": "718-719-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 500",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-988-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-988-0974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://spruce.care/envisionpsychiatry",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 E Sunrise Hwy Ste 500",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115811233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elsie M. Stfleur
• Nadege Elysee
• Samantha Elysee, RN
• Eminem Care Inc.
• Empire Vision of Health Inc.
• Eric Scott Lippman MD PC
• Errol Gindi DPM PC
• Errol Gindi DPM PC
• Daniel Alejandro Escobar, MD
• Holly Escobar, PTA

• Psychiatric/Mental Health Nurse Practitioner in Valley Stream, NY
• Providers in Valley Stream, 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 Aug 17, 2022; 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.