Individual provider Active NPI

Candice Oneil

  • Psychiatric/Mental Health Nurse Practitioner
  • Great Neck, NY
National Provider Identifier
1780398107
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404480 Issued in NY
Practice address
80 Knightsbridge Rd Apt 2G
Great Neck, NY 11021-4545
Phone
(516) 324-5932
Fax
(718) 943-8537
NPI assigned
Jan 10, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 F404480 NY Primary

Addresses

Primary practice location

80 Knightsbridge Rd Apt 2G
Great Neck, NY 11021-4545

Mailing address

80 Knightsbridge Rd Apt 2G
Great Neck, NY 11021-4545

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
I20230822000279 NY Practitioner - Nurse Practitioner 5890157937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F404480NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Edny, Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

175 Remsen St
Ste 900
Brooklyn, NY 11201
Phone (718) 858-6631

16318 Jamaica Ave
Ste 502
Jamaica, NY 11432
Phone (718) 658-0010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1780398107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 KNIGHTSBRIDGE RD APT 2G",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214545",
            "fax_number": "718-943-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 KNIGHTSBRIDGE RD APT 2G",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214545",
            "telephone_number": "516-324-5932",
            "fax_number": "718-943-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.