Organization Active NPI

Adult Health Nurse Practitioner Services of the Hamptons PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1982364790
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADULT HEALTH NURSE PRACTITIONER SERVICES OF THE HAMPTONS PLLC
Practice address
508 Main Rd
Riverhead, NY 11901-1906
Phone
(845) 309-3040
Fax
(631) 779-2168
NPI assigned
Dec 20, 2021
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Susan E Mogan, DNP, PMHNP, ANP-BCNPI 1043643992
Title
Owner
Phone
(845) 309-3040

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
Adult Health Nurse Practitioner 363LA2200X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

508 Main Rd
Riverhead, NY 11901-1906

Mailing address

6 Flocee LN
Hampton Bays, NY 11946-3006
Phone (845) 309-3040

Other identifiers 1

IdentifierTypeStateIssuer
1043643992MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.practicefusion.com

National Provider Directory

National Provider Directory

Locations

508 Main Rd
Riverhead, NY 11901
Phone (914) 948-3008

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1982364790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLOCEE LN",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463006",
            "telephone_number": "845-309-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MAIN RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011906",
            "telephone_number": "845-309-3040",
            "fax_number": "631-779-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT HEALTH NURSE PRACTITIONER SERVICES OF THE HAMPTONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "MOGAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-309-3040",
        "authorized_official_credential": "DNP, PMHNP, ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043643992",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "6 Flocee Ln",
            "city": "Hampton Bays",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119463006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.