Active NPI
Carreen Castroll, NP
- Psychiatric/Mental Health Nurse Practitioner
- Coram, NY
National Provider Identifier
1639313398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401197
- Practice address
- 3600 Route 112
Coram, NY 11727-4116 - Phone
- (631) 920-8500
- Fax
- (631) 920-8501
- NPI assigned
- Apr 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401197 | NY | Primary |
Addresses
Primary practice location
3600 Route 112
Coram, NY 11727-4116
Mailing address
3600 Route 112
Coram, NY 11727-4116
Phone (631) 920-8500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190328001702 | NY | Practitioner - Nurse Practitioner | 7810237831 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Shore Psychiatric Consultants PC
Practice addresses (Care Compare)
222 E Middle Country Rd
Suite 210
Smithtown, NY 11787-2814
Phone 6312656868210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401197 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Psychiatric Consultants PC | Current | Accepting new patients |
Locations
222 E Middle Country Rd
Ste 210
Smithtown, NY 11787
Phone (631) 265-6868
180 E Main St
Ste 302
Smithtown, NY 11787
Phone (631) 265-6868
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240617600000",
"number": "1639313398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 ROUTE 112",
"city": "CORAM",
"state": "NY",
"postal_code": "117274116",
"telephone_number": "631-920-8500",
"fax_number": "631-920-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 ROUTE 112",
"city": "CORAM",
"state": "NY",
"postal_code": "117274116",
"telephone_number": "631-920-8500",
"fax_number": "631-920-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTROLL",
"first_name": "CARREEN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-25",
"last_updated": "2009-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.