Catherine Poulos Psychiatric Nurse Practitioner PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401489-1 Issued in NY

Legal business name

CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC

Practice address

349 Meeting House LN
Southampton, NY 11968-5051

Phone

(631) 495-3300

Fax

(631) 822-2833

NPI assigned

Jun 16, 2013

Last updated

Jun 16, 2013By 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

Ms. Catherine Poulos, NPPNPI 1396997672

Title

Nurse Practitioner

Phone

(631) 495-3300

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.

• Catherine Poulos, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton Bays, NY
  • NPI 1396997672
  Authorized official Same address or phone

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371340800000",
    "number": "1457790198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-495-3300",
            "fax_number": "631-822-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-495-3300",
            "fax_number": "631-822-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-495-3300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NPP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Cantrell, LCSW, CASAC
• David Capone, DO
• Colleen Carter
• Michelle T. Cartier, D.D.S.
• Rebecca Diane Casabianca
• Giovanni Cervini, DO
• Marianne Elizabeth Charest, REGISTERED NURSE
• Charlie Tan Cheng, MD
• Carmen Chinea, M.D.
• Nicholas Chiofalo, ATC

• Psychiatric/Mental Health Nurse Practitioner in Southampton, NY
• Providers in Southampton, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; 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.