Active NPI
Elisa M Mattei, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- South Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403765-01
- Practice address
- 3771 Nesconset Hwy Ste 107
South Setauket, NY 11720-1155 - Phone
- (631) 881-4569
- Fax
- (631) 944-8000
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403765-01 | NY | Primary |
Addresses
Primary practice location
3771 Nesconset Hwy Ste 107
South Setauket, NY 11720-1155
Mailing address
3771 Nesconset Hwy Ste 107
South Setauket, NY 11720-1155
Phone (631) 881-4569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F403765-01 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625001663 | NY | Practitioner - Nurse Practitioner | 2062924046 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3771 Nesconset Hwy
Suite 107
South Setauket, NY 11720-1155
Phone (631) 881-4569
8 Manor Rd
Smithtown, NY 11787-2715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F403765-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dove Psychiatry- NP in Psychiatry, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
8 Manor Rd
Smithtown, NY 11787
Phone (631) 265-4670
3771 Nesconset Hwy
Ste 107
South Setauket, NY 11720
Phone (631) 250-4141
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- South Setauket, NY
- NPI 1811783913
NY, Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1336550359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 NESCONSET HWY STE 107",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201155",
"telephone_number": "631-881-4569",
"fax_number": "631-944-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 NESCONSET HWY STE 107",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201155",
"telephone_number": "631-881-4569",
"fax_number": "631-944-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTEI",
"first_name": "ELISA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403765-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F403765-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.