Organization Active NPI

Long Island Psychiatric, PLLC

  • Specialist
  • Greenvale, NY
National Provider Identifier
1164640405
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
206446 Issued in NY
Legal business name
LONG ISLAND PSYCHIATRIC, PLLC
Practice address
43 Glen Cove Rd Ste B157
Greenvale, NY 11548-1033
Phone
(516) 626-2182
Fax
(917) 942-8887
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Dr. James Burton Snyder Jr., M.D.NPI 1508179565
Title
Director
Phone
(516) 626-2182

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 206446 NY Primary

Addresses

Primary practice location

43 Glen Cove Rd Ste B157
Greenvale, NY 11548-1033

Mailing address

43 Glen Cove Rd Ste B157
Greenvale, NY 11548-1033
Phone (516) 626-2182

National Provider Directory

National Provider Directory

Locations

80 Glen Head Rd
Ste 1
Glen Head, NY 11545

43 Glen Cove Rd
Ste B157
Greenvale, NY 11548
Phone (516) 626-2182

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1164640405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GLEN COVE RD STE B157",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481033",
            "telephone_number": "516-626-2182",
            "fax_number": "917-942-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GLEN COVE RD STE B157",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481033",
            "telephone_number": "516-626-2182",
            "fax_number": "917-942-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PSYCHIATRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-626-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "206446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.