Deborah Mary Carney, RN NPP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Centereach, NY
NPI 1982929071 · NPPES record last updated Dec 2, 2012
Key facts
- NPI
- 1982929071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 401495 (NY)
- Practice address
- 2539 Middle Country Rd
Suite 4
Centereach, NY 11720 - Phone
- (631) 737-6434
- NPI assigned
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130221000324 | NY | Practitioner - Nurse Practitioner | 7012162159 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 384611-1 | NY | MD | Registered Nurse |
| 401495 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Spronz, Psychiatric Nurse Practitioner P.C. | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 384611-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401495 | NY | Yes |
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
Other providers in Centereach, NY
- Rebecca Bumb
- Gina Buonagura
- Michele Susan Butzbach
- Maria Byrne
- Dori Jo Cannella
- Melissa Andrea Carranza
- Gregg Charles Casarona
- Anthony J. Casino
- Stephani Catalano-Morfogen
- Leonard Matthew Catanzaro
All providers in Centereach, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.