North Fork Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

247356 Issued in NY

Legal business name

NORTH FORK PSYCHIATRY, PLLC

Practice address

300 Atlantic Ave
Greenport, NY 11944-1264

Phone

(631) 627-1559

Fax

(621) 477-0219

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Douglas K Hoverkamp, M.D., ABPN

Title

Ceo, Executive Chairman

Phone

(631) 627-1559

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1437474137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ATLANTIC AVE",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441264",
            "telephone_number": "631-627-1559",
            "fax_number": "621-477-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ATLANTIC AVE",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441264",
            "telephone_number": "631-627-1559",
            "fax_number": "621-477-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "HOVERKAMP",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO, EXECUTIVE CHAIRMAN",
        "authorized_official_telephone_number": "631-627-1559",
        "authorized_official_credential": "M.D., ABPN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247356",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "247356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Mobius, MSPT
• Elizabeth Frances Morrison, LICENSED MIDWIFE
• Kelvin Ngo, DO
• North Fork Anesthesia, P.C.
• North Fork House Calls, LLC
• Stephanie Osuji, MD
• Joseph John Pagano, OD
• Celine Marie Paillot, PHD
• Paragon Emergency Medicine, PC
• Kathryn Ann Park, OTR/L

• All providers in Greenport, NY
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.