NPIMap

Organization Active NPI

M and M Psychiatric Nurse Practitioner Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1336856467
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
M AND M PSYCHIATRIC NURSE PRACTITIONER SERVICES PLLC
Practice address
7 Marcus Garvey Blvd Ste 427
Brooklyn, NY 11206-5303
Phone
(516) 581-1357
Fax
(917) 410-6866
NPI assigned
Oct 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Dr. Marina Cecere, DNPNPI 1437408796
Title
Owner
Phone
(516) 581-1357

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7 Marcus Garvey Blvd Ste 427
Brooklyn, NY 11206-5303

Mailing address

3280 Ocean Harbor Dr
Oceanside, NY 11572-3546
Phone (516) 581-1357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250411000918 NY Part B Supplier - Clinic/Group Practice 0749704724 Receives reassigned benefits from 11 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

495 Flatbush Ave
Ste 33
Brooklyn, NY 11225
Phone (516) 299-8698

7 Marcus Garvey Blvd
Ste 427
Brooklyn, NY 11206
Phone (516) 581-1357

Practitioners & affiliated clinicians

Practitioners 11

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": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1336856467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 OCEAN HARBOR DR",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723546",
            "telephone_number": "516-581-1357",
            "fax_number": "917-410-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARCUS GARVEY BLVD STE 427",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065303",
            "telephone_number": "516-581-1357",
            "fax_number": "917-410-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M AND M PSYCHIATRIC NURSE PRACTITIONER SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "CECERE",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-581-1357",
        "authorized_official_name_prefix": "Dr.",
        "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 Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.