Christina M. Suozzo NP Psychiatry PC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

F401022 Issued in NY

Legal business name

CHRISTINA M. SUOZZO NP PSYCHIATRY PC

Practice address

475 E Main St
Suite 211
Patchogue, NY 11772-3121

Phone

(631) 569-4646

Fax

(631) 893-4020

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Coane

Title

Office Manager

Phone

(631) 681-4754

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Marie Suozzo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Patchogue, NY
  • NPI 1184824278
  Medicare reassignment NPD

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639587652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 211",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-569-4646",
            "fax_number": "631-893-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 211",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-569-4646",
            "fax_number": "631-893-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA M. SUOZZO NP PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COANE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-681-4754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "F401022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "933831",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02931419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yim Ping Cheung
• Jessica Elizabeth Cheverino, ATR-BC, LCAT, CASAC2
• Christine Chisari, PHARMD
• Barbara Chitkara, LCSW
• Meaghan Chou, PA-C
• Gloria Chu
• Ryan J. Chuang, MD, MPHIL
• Rosemary Cipolla, MA, OTR/L
• City Medical of Upper East Side, PLLC
• Cheyenne Nicole Clinkscales, PA-C

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.