Individual provider Active NPI

Erik Collins

  • Psychiatric/Mental Health Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1356915987
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403206-01 Issued in NY
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

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F403206-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NP3 Health & Wellness Inc. Psychiatric/Mental Health CurrentSince Mar 6, 2022 Accepting new patients
Island Psychiatry, P.C. Psychiatry PastSince May 1, 2021 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.

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.

Verify at the official NPI Registry.