Organization Active NPI

Nuvo Life Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1821315102
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400563-1 Issued in NY
Legal business name
NUVO LIFE CENTER
Practice address
22 Lawrence Ave
Smithtown, NY 11787-3619
Phone
(631) 360-2223
Fax
(631) 360-2288
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Mrs. Sylvia Simeone, PMHNP, MS,CS-BCNPI 1851453880
Title
Partner
Phone
(631) 360-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X R041337-1 NY
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X F400563-1 NY Primary

Addresses

Primary practice location

22 Lawrence Ave
Smithtown, NY 11787-3619

Mailing address

22 Lawrence Ave
Smithtown, NY 11787-3619
Phone (631) 360-2223

National Provider Directory

National Provider Directory

Locations

22 Lawrence Ave
Smithtown, NY 11787
Phone (631) 360-2223

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1821315102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LAWRENCE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873619",
            "telephone_number": "631-360-2223",
            "fax_number": "631-360-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LAWRENCE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873619",
            "telephone_number": "631-360-2223",
            "fax_number": "631-360-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVO LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "SIMEONE",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-360-2223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP, MS,CS-BC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041337-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400563-1",
            "primary": true
        }
    ],
    "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 Apr 27, 2010; 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.