Active NPI
Theretha Gilbert, NP in Psychiatry PC
- Community/Behavioral Health Agency
- North Babylon, NY
National Provider Identifier
1124706320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THERETHA GILBERT, NP IN PSYCHIATRY PC
- Practice address
- 1398 Deer Park Ave
North Babylon, NY 11703-1612 - Phone
- (516) 331-1760
- Fax
- (231) 310-5299
- NPI assigned
- Jul 7, 2023
- 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
- Theretha Gilbert, NP
- Title
- NP
- Phone
- (516) 331-1760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1398 Deer Park Ave
North Babylon, NY 11703-1612
Mailing address
31 E Nancy PL
Massapequa, NY 11758-4322
Phone (516) 449-7807
Other names 2
- Theretha Gilbert, NP in Pschiatry PC
- Theretha Gilbert, NP in Psychiatry PC
National Provider Directory
National Provider DirectoryLocations
1398 Deer Park Ave
North Babylon, NY 11703
Phone (516) 331-1760
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brentwood, NY
- NPI 1164514279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688688000000",
"number": "1124706320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 E NANCY PL",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584322",
"telephone_number": "516-449-7807",
"fax_number": "231-310-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 DEER PARK AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031612",
"telephone_number": "516-331-1760",
"fax_number": "231-310-5299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERETHA GILBERT, NP IN PSYCHIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "THERETHA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "516-331-1760",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Theretha Gilbert, NP in Pschiatry PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Theretha Gilbert, NP in Psychiatry PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.