Individual provider Active NPI

Deborah Mary Carney, RN NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Centereach, NY
National Provider Identifier
1982929071
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401495 Issued in NY
Practice address
2539 Middle Country Rd
Suite 4
Centereach, NY 11720
Phone
(631) 737-6434
NPI assigned
Mar 31, 2010
Last updated
Dec 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401495 NY Primary
Registered Nurse 163W00000X 384611-1 NY

Addresses

Primary practice location

2539 Middle Country Rd
Suite 4
Centereach, NY 11720

Mailing address

2539 Middle Country Rd
Suite 4
Centereach, NY 11720
Phone (631) 737-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000324 NY Practitioner - Nurse Practitioner 7012162159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
384611-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Spronz, Psychiatric Nurse Practitioner P.C. CurrentSince Oct 4, 2020 Accepting new patients
Nys Office of Mental Health Current Accepting new patients

Locations

2539 Middle Country Rd
Ste 4
Centereach, NY 11720
Phone (516) 737-6434

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1982929071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-737-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-737-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "DEBORAH",
        "middle_name": "MARY",
        "credential": "RN    NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401495",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "384611-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

Verify at the official NPI Registry.