NPIMap

Organization Active NPI

Long Island Behavioral Medicine PC

  • Psychiatry Physician
  • Islandia, NY
National Provider Identifier
1104072677
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
183731 Issued in NY
Legal business name
LONG ISLAND BEHAVIORAL MEDICINE PC
Practice address
1727 Veterans Memorial Hwy
Suite 300
Islandia, NY 11749-1520
Phone
(631) 656-0472
Fax
(631) 656-0634
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Frank Dowling, MD
Title
Owner
Phone
(631) 265-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 183731 NY Primary

Addresses

Primary practice location

1727 Veterans Memorial Hwy
Suite 300
Islandia, NY 11749-1520

Mailing address

1727 Veterans Memorial Hwy
Suite 300
Islandia, NY 11749-1520
Phone (631) 656-0472

National Provider Directory

National Provider Directory

Locations

515 Route 111
Ste 3B
Hauppauge, NY 11788
Phone (631) 656-0472

1727 Veterans Memorial Hwy
Ste 300
Islandia, NY 11749
Phone (631) 656-0472

331 E Main St
Patchogue, NY 11772
Phone (631) 207-1119

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1104072677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 300",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491520",
            "telephone_number": "631-656-0472",
            "fax_number": "631-656-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 300",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491520",
            "telephone_number": "631-656-0472",
            "fax_number": "631-656-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND BEHAVIORAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "183731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.