Saboone NP in Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SABOONE NP IN PSYCHIATRY, PLLC

Practice address

250 Fulton Ave Ste 340
Hempstead, NY 11550-3917

Phone

(631) 629-2269

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanequa A Boone, PMHNPNPI 1174059919

Title

Nurse Practitioner

Phone

(631) 629-2269

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanequa Boone

  • Psychiatric/Mental Health Nurse Practitioner
  • Minnetonka, MN
  • NPI 1174059919
  NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1447016738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FULTON AVE STE 340",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503917",
            "telephone_number": "631-629-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULTON AVE STE 340",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503917",
            "telephone_number": "631-629-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABOONE NP IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "SHANEQUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-629-2269",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.