Island Lighthouse Consultation Services, NP in Psychiatry, P.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.

Practice address

627 Broadway Ste 200
Massapequa, NY 11758-5031

Phone

(516) 399-0797

NPI assigned

Jul 31, 2021

Organization subpart

No

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

Authorized official

Name

Mr. John Daniel Prato, PMHNP-BC

Title

President

Phone

(516) 399-0797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1558034835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BROADWAY STE 200",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585031",
            "telephone_number": "516-399-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BROADWAY STE 200",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585031",
            "telephone_number": "516-399-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "PRATO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-399-0797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie J. Isdith, D.O.
• Sabrina Islam, LMSW
• Island Chiropractic Wellness P.C.
• Island Diagnostic Imaging Associates
• Island Family Medicine PC
• Island Medical Office PC
• Island Neuro Care, PC
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• Island Orthopaedics & Sports Medicine PC
• Island Primary Medical Care Associates PC

• Psychiatric/Mental Health Nurse Practitioner in Massapequa, NY
• Providers in Massapequa, 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 Nov 18, 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.