Active NPI
Adult Health Nurse Practitioner Services of the Hamptons PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Riverhead, NY
National Provider Identifier
1982364790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043643992 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.practicefusion.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hampton Bays, NY
- NPI 1043643992
Single Specialty
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.