Suffolk Psychiatric NP Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUFFOLK PSYCHIATRIC NP SERVICES PLLC

Practice address

732 Smithtown Byp Ste 206
Smithtown, NY 11787-5020

Phone

(631) 780-4103

Fax

(631) 250-9215

NPI assigned

Jun 20, 2022

Last updated

Mar 13, 2024By 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

Janine Desimone, PMHNP-BCNPI 1306249735

Title

Owner/ NP

Phone

(631) 921-1949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janine Desimone, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Setauket, NY
  • NPI 1306249735
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1316678535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRASSWOOD RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803411",
            "telephone_number": "631-921-1949",
            "fax_number": "631-250-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 SMITHTOWN BYP STE 206",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875020",
            "telephone_number": "631-780-4103",
            "fax_number": "631-250-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK PSYCHIATRIC NP SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OWNER/ NP",
        "authorized_official_telephone_number": "631-921-1949",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Jean Suarez, PA
• James Tulio Suazo, M.D.
• Suffolk Anesthesiology Associates, PC
• Suffolk Heart Group, LLP
• Suffolk MRI PC
• Suffolk Spine and Rehabilitation Medicine
• Marjorie Beth Sugarman, LCSW-R, BCD, DCSW
• Jennifer Sullivan
• Joseph C Sullivan III, DC
• Nicole Ashley Sullivan, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Smithtown, NY
• Providers in Smithtown, 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 Mar 13, 2024; 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.