Nicole Lyn Byrne, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403641 Issued in NY

Practice address

550 E Main St Ste 103
Riverhead, NY 11901-2672

Phone

(631) 761-2880

NPI assigned

Jun 27, 2021

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Country Family Medicine P C

  • Family Medicine Physician
  • Centereach, NY
  • NPI 1659542827
  NPD (past)
• The Yaphank Center

  • Community/Behavioral Health Agency
  • Medford, NY
  • NPI 1790147411
  NPD (past)

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1457921090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E MAIN ST STE 103",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012672",
            "telephone_number": "631-921-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E MAIN ST STE 103",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012672",
            "telephone_number": "631-761-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Crooked Hill Rd Bldg 56",
            "address_purpose": "LOCATION",
            "city": "W Brentwood",
            "state": "NY",
            "postal_code": "117171019",
            "country_code": "US",
            "telephone_number": "631-761-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "998 Crooked Hill Rd Bldg 47",
            "address_purpose": "LOCATION",
            "city": "W Brentwood",
            "state": "NY",
            "postal_code": "117171019",
            "country_code": "US",
            "telephone_number": "631-761-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632220",
            "country_code": "US",
            "telephone_number": "631-924-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403641",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "717252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice S. Butkos, A.N.P.
• Annmarie Butler, NP
• Afzal M Butt
• Barjinder Singh Buttar, M.D.
• John Byrne, M.D.
• Tracy Elizabeth Byrne, R.N.
• Patricia Anne Cajigas, P.T.
• Michelle Cambria
• Lauren Campbell, B.C.,HIS, COHC
• Daniel John Canellys

• Psychiatric/Mental Health Nurse Practitioner in Riverhead, NY
• Providers in Riverhead, 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 Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.