Organization Active NPI

Mental Health Nurse Practitioner Consultation Services PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1114122991
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400083 Issued in NY
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

Updated by the provider on Jan 12, 2015

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.