Active NPI
Eastport Behavioral Health & Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- The Villages, FL
National Provider Identifier
1306796610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EASTPORT BEHAVIORAL HEALTH & PSYCHIATRY LLC
- Practice address
- 541 Redding CT
The Villages, FL 32163-5916 - Phone
- (631) 707-2394
- Fax
- (631) 824-9118
- NPI assigned
- Jan 28, 2026
- 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
- Stacy H Schoenbach, DNP
- Title
- Psychiatric Nurse Practitioner
- Phone
- (631) 707-2394
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
541 Redding CT
The Villages, FL 32163-5916
Mailing address
2448 Foster CT
North Bellmore, NY 11710-2734
Phone (631) 707-2394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1769558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1306796610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 FOSTER CT",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117102734",
"telephone_number": "631-707-2394",
"fax_number": "631-824-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 REDDING CT",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321635916",
"telephone_number": "631-707-2394",
"fax_number": "631-824-9118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTPORT BEHAVIORAL HEALTH & PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-28",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "SCHOENBACH",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "631-707-2394",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.