Amanda J Weston, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401895 Issued in NY

Practice address

122 W Roe Blvd
Patchogue, NY 11772-2569

Phone

(631) 260-1314

NPI assigned

Sep 2, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Guiding Balance - Psychiatric NP, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Patchogue, NY
  • NPI 1679154900
  NPD Authorized official

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710387279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722569",
            "telephone_number": "631-260-1314",
            "fax_number": "631-532-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W ROE BLVD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722569",
            "telephone_number": "631-260-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F401895-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellcare Medical of New York PLLC (Medical Pureness)
• Wellcare Medical of North Shore
• David Weltman, M.D.
• Elizabeth Anne Westendorf, PA-C
• Elizabeth Ann Westhoff-Smejc, L.C.S.W.
• Janet N White, MSN
• Marina Rose Whitehouse, PA
• Wholistic Counseling, P.C.
• Jessie Wilkinson, LCSW
• Michael C. Williams II, P.T.

• Psychiatric/Mental Health Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, 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 Jul 21, 2022; 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.