Active NPI
Zvi Steve Yadin, PH.D. NP
- Psychiatric/Mental Health Nurse Practitioner
- Smithtown, NY
National Provider Identifier
1821178476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400794-1
- Practice address
- 21 Redwood LN
Smithtown, NY 11787-2718 - Phone
- (631) 360-3330
- Fax
- (631) 297-8444
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 011739-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400794-1 | NY | Primary |
| Registered Nurse | 163W00000X | 533159 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F305760-1 | NY |
Addresses
Primary practice location
21 Redwood LN
Smithtown, NY 11787-2718
Mailing address
21 Redwood LN
Smithtown, NY 11787-2718
Phone (631) 360-3330
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21 Redwood LN
Smithtown, NY 11787-2718
Phone (631) 360-3330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003532 | CT | MD | Clinical Psychologist |
| 400794 | NY | MD | Registered Nurse |
| 533159 | NY | MD | Registered Nurse |
| 011739-1 | NY | MD | Pediatric Occupational Therapist |
| F305760-1 | NY | MD | Adult Health Nurse Practitioner |
| F400794-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Psychiatric Services - NP in Psychiatry, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Past | Accepting new patients |
Locations
21 Redwood Ln
Smithtown, NY 11787
Phone (631) 360-3330
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Smithtown, NY
- NPI 1477951713
-
- Psychiatry Physician
- Stony Brook, NY
- NPI 1437105905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1821178476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 REDWOOD LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872718",
"telephone_number": "631-360-3330",
"fax_number": "631-297-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 REDWOOD LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872718",
"telephone_number": "631-360-3330",
"fax_number": "631-297-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADIN",
"first_name": "ZVI",
"middle_name": "STEVE",
"name_prefix": "Dr.",
"credential": "PH.D. NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011739-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400794-1",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "533159",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305760-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.