Active NPI
Nurse Practitioner in Psychiatry and Family Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Cambria Heights, NY
National Provider Identifier
1619847241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
- Practice address
- 11714 228TH St
Cambria Heights, NY 11411-1720 - Phone
- (917) 554-5594
- NPI assigned
- Nov 8, 2025
- 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
- Susane Hilary Frith-Headley, DNP, FNP, PMHNP
- Title
- Owner/Founder
- Phone
- (917) 856-3100
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11714 228TH St
Cambria Heights, NY 11411-1720
Mailing address
11714 228TH St
Cambria Heights, NY 11411-1720
Phone (917) 554-5594
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cambria Heights, NY
- NPI 1326641242
Acute Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1619847241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11714 228TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111720",
"telephone_number": "917-554-5594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11714 228TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111720",
"telephone_number": "917-554-5594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-08",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "FRITH-HEADLEY",
"authorized_official_first_name": "SUSANE",
"authorized_official_middle_name": "HILARY",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "917-856-3100",
"authorized_official_credential": "DNP, FNP, PMHNP"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.