Organization Active NPI

Tina Riggs NP in Psychiatry and Adult Health PC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Setauket, NY
National Provider Identifier
1932948171
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TINA RIGGS NP IN PSYCHIATRY AND ADULT HEALTH PC
Practice address
3771 Nesconset Hwy
South Setauket, NY 11720-1163
Phone
(631) 689-5155
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Tina Riggs, NP
Title
Owner
Phone
(631) 445-1737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3771 Nesconset Hwy
South Setauket, NY 11720-1163

Mailing address

3771 Nesconset Hwy
South Setauket, NY 11720-1163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620001797 NY Part B Supplier - Clinic/Group Practice 4587107404 Receives reassigned benefits from 1 practitioner
Practice locations: South Setauket, NY

National Provider Directory

National Provider Directory

Locations

3771 Nesconset Hwy
South Setauket, NY 11720
Phone (631) 751-4661

3771 Nesconset Hwy
Ste 208B
South Setauket, NY 11720
Phone (516) 721-1976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1932948171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-689-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA RIGGS NP IN PSYCHIATRY AND ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-445-1737",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.