Individual provider Active NPI

Astrid B Garrido, PMHNPP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Northport, NY
National Provider Identifier
1578822672
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402759 Issued in NY
Practice address
509 8TH Ave
East Northport, NY 11731-2123
Phone
(516) 761-3489
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 649248 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402759 NY Primary

Addresses

Primary practice location

509 8TH Ave
East Northport, NY 11731-2123

Mailing address

509 8TH Ave
East Northport, NY 11731-2123
Phone (516) 761-3489

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230622002717 NY Practitioner - Nurse Practitioner 6406242130 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
649248NYMDRegistered Nurse
402759NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 24, 2023 Accepting new patients
Family Service League, Inc. CurrentSince May 24, 2023 Accepting new patients
New York General Medical Services PC CurrentSince Jul 24, 2023 Accepting new patients

Locations

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

90 Adams Ave
Hauppauge, NY 11788
Phone (631) 392-0081

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1578822672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 8TH AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312123",
            "telephone_number": "516-761-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 8TH AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312123",
            "telephone_number": "516-761-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "ASTRID",
        "middle_name": "B",
        "credential": "PMHNPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "649248",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.