Nancy C. Deacon, Psychiatric Nurse Practitioner, P.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401406-1 Issued in NY

Legal business name

NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.

Practice address

80 Salem Ridge Dr
Huntington, NY 11743-3015

Phone

(631) 495-7762

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy DeaconNPI 1134475189

Title

President

Phone

(631) 495-7762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Nancy C Deacon, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Melville, NY
  • NPI 1134475189
  Medicare reassignment NPD Authorized official
• Shannon Elizabeth Collins, SLP

  • Speech-Language Pathologist
  • Huntington, NY
  • NPI 1578960290
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1891170544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 310",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-636-7050",
            "fax_number": "631-549-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SALEM RIDGE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433015",
            "telephone_number": "631-495-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "DEACON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-495-7762",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401406-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Nacht, LMHC
• Madeline Nack, LCSW
• Tyce Dylan Nadrich, LMHC, ACS, NCC
• Roshan Nair
• Hachiro Nakamura, M.D.
• Allison Dorothy Napoli, DDS
• Narayan Psychological Services, PLLC
• Jasmine Narayan, PSY.D.
• Tara Narine, DPT
• Venod Narine, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Huntington, NY
• Providers in Huntington, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.