A I B H Nurse Practitioner-Pscyhiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC

Practice address

3771 Nesconset Hwy Ste 212
South Setauket, NY 11720-1154

Phone

(631) 689-5390

Fax

(631) 883-6652

NPI assigned

Mar 16, 2008

Last updated

Dec 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Rosseland

Title

Practice Administrator

Phone

(631) 689-5433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1164693305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 212",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201154",
            "telephone_number": "631-689-5433",
            "fax_number": "631-883-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 212",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201154",
            "telephone_number": "631-689-5390",
            "fax_number": "631-883-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A I B H NURSE PRACTITIONER-PSCYHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-16",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "ROSSELAND",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-689-5433"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.