Individual provider Active NPI

Emily Sidoti, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Melville, NY
National Provider Identifier
1093543076
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405953 Issued in NY
Practice address
68 S Service Rd Ste 100
Melville, NY 11747-2350
Phone
(929) 810-2207
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405953 NY Primary

Addresses

Primary practice location

68 S Service Rd Ste 100
Melville, NY 11747-2350

Mailing address

68 S Service Rd Ste 100
Melville, NY 11747-2350
Phone (929) 810-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Nurse Practitioner in Psychiatry LLC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients

Locations

300 Carnegie Ctr
Ste 150
Princeton, NJ 08540
Phone (609) 900-3310

157 E 86th St
Fl 4
New York, NY 10028
Phone (646) 371-4142

1632 1st Ave
New York, NY 10028
Phone (850) 832-1299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1093543076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD STE 100",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472350",
            "telephone_number": "929-810-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD STE 100",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472350",
            "telephone_number": "929-810-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOTI",
        "first_name": "EMILY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.