Island Psychiatric Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1537531 Issued in NY

Legal business name

ISLAND PSYCHIATRIC SERVICES PC

Practice address

87 Cold Spring Road
Syosset, NY 11791-3142

Phone

(631) 385-1288

Fax

(631) 547-6471

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Larry J Sloane, MD

Title

President

Phone

(631) 385-1288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1871760876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 COLD SPRING ROAD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913142",
            "telephone_number": "631-385-1288",
            "fax_number": "631-547-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 COLD SPRING ROAD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913142",
            "telephone_number": "631-385-1288",
            "fax_number": "631-547-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "SLOANE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-385-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1537531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.