Alicia A Tate, ANP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402781 Issued in NY

Practice address

775 Park Ave Ste 154
Huntington, NY 11743-5162

Phone

(631) 427-1100

NPI assigned

May 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Juliana Kanji Psychiatric Services

  • Psychiatry Physician
  • Huntington, NY
  • NPI 1316701261

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1326308776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BABYLON TPKE UNIT 359",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115754025",
            "telephone_number": "516-642-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 154",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435162",
            "telephone_number": "631-427-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "ANP-C,  PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305236-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Talleur
• Pragati Tandon, MD
• Mary Neubauer Tangredi, NP
• Salvatore John Tangredi, DDS
• Konstantin Tarashansky, MD
• Tracy Mae Tauro, DO
• Susan Lee Teeman, RN, BSN
• Leslie Janet Temme, LCSW
• Mary- Ellen Tenbus, P.T.
• York Yue Teng, MD

• Psychiatric/Mental Health Nurse Practitioner in Huntington, NY
• Providers in Huntington, 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 Jul 10, 2023; 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.