Active NPI
Mental Health Nurse Practitioner Consultation Services PC
- Psychiatric/Mental Health Nurse Practitioner
- Smithtown, NY
National Provider Identifier
1114122991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400083
- Legal business name
- MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC
- Practice address
- 637 Veterans Hwy
Smithtown, NY 11787-4309 - Phone
- (631) 656-9761
- Fax
- (631) 656-9765
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catherine Bridget Obrien, NPP, APRN
- Title
- President
- Phone
- (631) 656-9761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400083 | NY | Primary |
Addresses
Primary practice location
637 Veterans Hwy
Smithtown, NY 11787-4309
Mailing address
637 Veterans Hwy
Smithtown, NY 11787-4309
Phone (631) 656-9761
National Provider Directory
National Provider DirectoryLocations
351 Meeting House Ln
Ste C
Southampton, NY 11968
Phone (631) 283-6720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Smithtown, NY
- NPI 1790967388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1114122991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 VETERANS HWY",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874309",
"telephone_number": "631-656-9761",
"fax_number": "631-656-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 VETERANS HWY",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874309",
"telephone_number": "631-656-9761",
"fax_number": "631-656-9765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "BRIDGET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-656-9761",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NPP, APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.