Arck Nurse Practitioner in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ARCK NURSE PRACTITIONER IN PSYCHIATRY PLLC

Practice address

111 Smithtown Byp Ste 122
Hauppauge, NY 11788-2512

Phone

(516) 568-7032

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo MillerNPI 1407906233

Title

Nurse Practitioner

Phone

(516) 568-7032

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 9

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

• Ricardo Anthony Miller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1407906233
  Medicare reassignment NPD Authorized official
• Sandra Agenor-Alexandre, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hicksville, NY
  • NPI 1871252205
  Medicare reassignment NPD
• Aleen Marie Boyd-McKoy, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1104182039
  Medicare reassignment NPD
• Kaleen Maria Boyd, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1790050748
  Medicare reassignment NPD
• Tamara Charles

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1023293479
  Medicare reassignment NPD
• Anthony Dewar, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coram, NY
  • NPI 1619329166
  Medicare reassignment NPD
• Christine Edmondson

  • Psychiatric/Mental Health Nurse Practitioner
  • Astoria, NY
  • NPI 1477973519
  Medicare reassignment NPD
• Marcia N Houllier -Rosa

  • Social Worker
  • Elmhurst, NY
  • NPI 1992334056
  Medicare reassignment NPD
• Tracy Philesia Hollingsworth, LICSW

  • Clinical Social Worker
  • Gardner, MA
  • NPI 1417536665

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1700464682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CORONA AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 122",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "516-568-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S Corona Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115806217",
            "country_code": "US",
            "telephone_number": "516-284-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCK NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "516-568-7032",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@arckpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "address_1": "115 S Corona Ave",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115806217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@arckpsychiatry.com",
            "affiliation": "N",
            "address_1": "115 S Corona Ave",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115806217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@arckpsychiatry.com",
            "affiliation": "N",
            "address_1": "115 S Corona Ave",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115806217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carl John Anthony, D C
• Satwatie Antis
• Cecily Maliakal Anto, MD
• Apollo-Hauppauge, LLC
• Mona Arafa, RPH
• Anabelle Aristizabal
• Greg Arnold, DC, CSCS
• Jessica L Arnoux, MS,CCC/SLP
• Arrocare Professional Organization
• Camille Asaro, O.T.R./L

• Psychiatric/Mental Health Nurse Practitioner in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.