Active NPI
Erik Collins
- Psychiatric/Mental Health Nurse Practitioner
- Astoria, NY
National Provider Identifier
1356915987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403206-01
- Practice address
- 3005 30TH Ave Ste 200
Astoria, NY 11102-2193 - Phone
- (212) 707-8222
- NPI assigned
- May 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | F403206-01 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403206-01 | NY | Primary |
Addresses
Primary practice location
3005 30TH Ave Ste 200
Astoria, NY 11102-2193
Mailing address
162 Sequoia Dr
Coram, NY 11727-2051
Phone (347) 731-9028
Other practice location 1
55 Nesconset Hwy
Port Jefferson Station, NY 11776-2631
Phone (631) 474-8099
Other practice location 2
222 E Middle Country Rd
Smithtown, NY 11787-2871
Phone (347) 731-9028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F403206-01 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP3 Health & Wellness Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Island Psychiatry, P.C. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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
- Coram, NY
- NPI 1063169753
-
- Cognitive & Behavioral Psychologist
- Port Jefferson, NY
- NPI 1609249754
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1356915987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 SEQUOIA DR",
"city": "CORAM",
"state": "NY",
"postal_code": "117272051",
"telephone_number": "347-731-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 30TH AVE STE 200",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022193",
"telephone_number": "212-707-8222"
}
],
"practiceLocations": [
{
"address_1": "55 Nesconset Hwy",
"address_purpose": "LOCATION",
"city": "Port Jefferson Station",
"state": "NY",
"postal_code": "117762631",
"country_code": "US",
"telephone_number": "631-474-8099",
"fax_number": "888-506-5997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 E Middle Country Rd",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117872871",
"country_code": "US",
"telephone_number": "347-731-9028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "ERIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "F403206-01",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403206-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.