Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400014 Issued in NY

Legal business name

LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC

Practice address

20 Montauk Hwy
Blue Point, NY 11715-1139

Phone

(516) 810-0475

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Lorraine SullivanNPI 1801995493

Title

Nurse Practitioner

Phone

(516) 810-0475

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorraine Sullivan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Islandia, NY
  • NPI 1801995493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1164823340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 BLUE RIDGE DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MONTAUK HWY",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151139",
            "telephone_number": "516-810-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "516-810-0475"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Lee, REGISTERED NURSE
• Jennifer L Leo-Carney, LPN
• Trefalyn Lewandowski
• Tyrone G Ligon Jr., LPN
• Vanessa Loccisano
• Marilyn Love, LPN
• Phoebe Elizabeth Macdowell
• Debora Joan Maida-Schmieder, SLP
• Melissa Rose Manfredo, R.N
• Candace Mannino

• Psychiatric/Mental Health Nurse Practitioner in Blue Point, NY
• Providers in Blue Point, 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 Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.