Active NPI
North Shore Psychiatric Associates of Long Island, P.C.
- Psychiatry Physician
- Mineola, NY
National Provider Identifier
1467278713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NORTH SHORE PSYCHIATRIC ASSOCIATES OF LONG ISLAND, P.C.
- Practice address
- 369 Willis Ave Lowr Level
Mineola, NY 11501-1842 - Phone
- (516) 253-4698
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allison B Deutch, MD
- Title
- Owner/President
- Phone
- (516) 458-2522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
369 Willis Ave Lowr Level
Mineola, NY 11501-1842
Mailing address
2630 Rebecca St
Bellmore, NY 11710-5416
Phone (516) 458-2522
National Provider Directory
National Provider DirectoryLocations
369 Willis Ave
Lowr
Mineola, NY 11501
Phone (516) 253-4698
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychosomatic Medicine Physician
- New York, NY
- NPI 1932426624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1467278713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 REBECCA ST",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105416",
"telephone_number": "516-458-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 WILLIS AVE LOWR LEVEL",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115011842",
"telephone_number": "516-253-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE PSYCHIATRIC ASSOCIATES OF LONG ISLAND, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "DEUTCH",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "516-458-2522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.