Individual provider Active NPI

Sean P Thomas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1750635132
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401509-1 Issued in NY
Practice address
400 W Main St
Riverhead, NY 11901-2813
Phone
(516) 225-0474
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401509-1 NY Primary

Addresses

Primary practice location

400 W Main St
Riverhead, NY 11901-2813

Mailing address

400 W Main St
Riverhead, NY 11901-2813
Phone (516) 225-0474

Other practice location 1

790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140110000885 NY Practitioner - Nurse Practitioner 2769610195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service League IncGroup PAC ID 4284524448, 47 clinicians

Practice addresses (Care Compare)

790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401509-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Sun River Health Inc. CurrentSince May 18, 2020 Accepting new patients
Huntington Hospital Association CurrentSince Jun 26, 2014 Accepting new patients
Huntington Hospital Association Psychiatric/Mental Health CurrentSince Jun 26, 2014 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince Jun 15, 2023 Accepting new patients
Sun River Health Inc Current Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

50 Maine Ave
Rockville Ctr, NY 11570
Phone (516) 508-3552

550 Montauk Hwy
Shirley, NY 11967
Phone (631) 852-1000

40 Main St
Westhampton Beach, NY 11978
Phone (631) 288-1954

Organizations & group practices 7

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": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1750635132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012813",
            "telephone_number": "516-225-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012813",
            "telephone_number": "516-225-0474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117434516",
            "country_code": "US",
            "telephone_number": "631-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SEAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401509-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.