North Shore TMS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

242634 Issued in NY

Legal business name

NORTH SHORE TMS

Practice address

75 Prospect St Ste 105
Huntington, NY 11743-3310

Phone

(631) 923-0006

Fax

(631) 498-0189

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Carlsen, MDNPI 1912079302

Title

Medical Director, North Shore TMS

Phone

(631) 923-0006

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea R. Carlsen, MD

  • Psychiatry Physician
  • Huntington, NY
  • NPI 1912079302
  NPD Authorized official

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1467967356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PROSPECT ST STE 105",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433310",
            "telephone_number": "631-923-0006",
            "fax_number": "631-498-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PROSPECT ST STE 105",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433310",
            "telephone_number": "631-923-0006",
            "fax_number": "631-498-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE TMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, NORTH SHORE TMS",
        "authorized_official_telephone_number": "631-923-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "242634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1912079302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Shore Medical Group of the Mount Sinai School of Medicine
• North Shore Medical Group of the Mount Sinai School of Medicine
• North Shore Pain Management P.C.
• North Shore Rheumatology
• North Shore Services
• North Shore TMS LLC
• Adamo Elvis Notarantonio, D.D.S
• Kristin Nowakowski, PHARM.D.
• Katharine R Nowicki, DNP
• Nsuh Huntington Physicians Ufp Corporation

• Psychiatry Physician in Huntington, NY
• Providers in Huntington, 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 Dec 13, 2017; 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.