Individual provider Active NPI

Sabrina Walcott, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1629651310
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403194 Issued in NY
Practice address
150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108
Phone
(516) 505-7200
NPI assigned
Apr 30, 2021
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403194 NY Primary

Addresses

Primary practice location

150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108

Mailing address

200 Fieldmere St
Elmont, NY 11003-2019
Phone (516) 567-0706

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
I20210517001562 NY Practitioner - Nurse Practitioner 7113336439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical PCGroup PAC ID 9234291436, 78 clinicians

Practice addresses (Care Compare)

41 Flatbush Ave
Suite 2
Brooklyn, NY 11217-1145
Phone (516) 505-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
403194NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC Psychiatry CurrentSince May 1, 2021 Accepting new patients

Locations

41 Flatbush Ave
Ste 2
Brooklyn, NY 11217
Phone (347) 620-6505

150 Motor Pkwy
Ste 401
Hauppauge, NY 11788
Phone (631) 434-5857

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1629651310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FIELDMERE ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032019",
            "telephone_number": "516-567-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MOTOR PKWY STE 401",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885108",
            "telephone_number": "516-505-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCOTT",
        "first_name": "SABRINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.