Organization Active NPI

Number of This Notice: CP 575 G Nurse Practitioner in Psychiatry Care for Women PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williston Park, NY
National Provider Identifier
1689510372
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NUMBER OF THIS NOTICE: CP 575 G NURSE PRACTITIONER IN PSYCHIATRY CARE FOR WOMEN PLLC
Practice address
101 Hillside Ave Ste 101
Williston Park, NY 11596-2347
Phone
(516) 231-2771
Fax
(516) 531-8931
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Mrs. Anthony Barisano, PMHNP-BC
Title
Psychiatric Nurse Practitioner
Phone
(516) 697-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

101 Hillside Ave Ste 101
Williston Park, NY 11596-2347

Mailing address

36 Flamingo Rd N
Roslyn, NY 11576-2606
Phone (516) 697-1682

National Provider Directory

National Provider Directory

Locations

101 Hillside Ave
Ste 101
Williston Park, NY 11596
Phone (516) 231-2771

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1689510372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FLAMINGO RD N",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762606",
            "telephone_number": "516-697-1682",
            "fax_number": "516-531-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HILLSIDE AVE STE 101",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962347",
            "telephone_number": "516-231-2771",
            "fax_number": "516-531-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUMBER OF THIS NOTICE: CP 575 G NURSE PRACTITIONER IN PSYCHIATRY CARE FOR WOMEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "BARISANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "516-697-1682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.