MICHAEL M TOBIN


Address: Putnam Hall South Campus, Stony Brook, NY 11794-0001
Phone: 6316328840

MICHAEL M TOBIN (NPI# 1316450836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316450836
Entity Type Individual
Full Name MICHAEL M TOBIN
Credential PMHNP
Practice Address Putnam Hall South Campus
Stony Brook
NY 11794-0001
Mailing Address 151 Haypath Rd
Old Bethpage
NY 11804-1454
Practice Telephone 6316328840
Practice Fax Number 6316328840
Mailing Telephone 5164571796
Enumeration Date 2017-11-06
Last Update Date 2017-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402277 NY Physician Assistants & Advanced Practice Nursing Providers

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1295851814 Michael I Tobin Psychologist 9139 South Ridgeline Boulevard, Suite 210, Highlands Ranch, CO 80129-2333 2007-03-22
1982745691 Michael W Tobin Emergency Medicine 3260 Hospital Dr, Juneau, AK 99801-7808 2007-02-08
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Office Location

Street Address PUTNAM HALL SOUTH CAMPUS
City STONY BROOK
State NY
Zip Code 11794-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861573289 Mark Lerman Psychiatry & Neurology Putnam Hall South Campus, Stony Brook, NY 11794-0001 2006-10-19
1366821621 Tahsin Nafis Hasan Student in an Organized Health Care Education/Training Program Putnam Hall South Campus, Stony Brook, NY 11794-2412 2015-05-20
1649697426 Amanda Gorecki Psychiatry & Neurology Putnam Hall South Campus, Stony Brook, NY 11794-8790 2014-03-18
1669734133 Wilfred Henry Farquharson Iv Psychologist Putnam Hall South Campus, Stony Brook, NY 11790-0989 2012-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922644624 Anne Elizabeth Malcolm Nurse Practitioner 21 Stratton Ln, Stony Brook, NY 11790-3213 2019-11-18
1497087860 Christopher A Syrewicz Nurse Practitioner 4 Harwick Ln, Stony Brook, NY 11790-2308 2010-02-09
1750542908 Sandra Ann Edwards Nurse Practitioner 208 Student Health Stadium Rd, Stony Brook, NY 11794-0001 2008-06-20
1013920933 Patricia B Meyer Nurse Practitioner 1212 Route 25a, Stony Brook, NY 11790 2006-08-14
1366054645 Christopher James Graffitti Nurse Practitioner 169 Putnam Hall, Stony Brook, NY 11794-0001 2020-08-19
1598164048 Bridget Walsh Nurse Practitioner 101 Nicolls Rd, Stony Brook, NY 11794-0001 2014-08-21
1861625097 Cheranne Morse Nurse Practitioner Stony Brook University Hospital, Nicolls Road, Stony Brook, NY 11794-8101 2009-09-04

Providers in the same taxonomy and state

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1619578366 Jecinter L Otieno Nurse Practitioner 195 Hillside Dr, Oneonta, NY 13820-3611 2020-11-07
1073113833 Natalie Grant-villegas Nurse Practitioner 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 2020-10-29
1780284869 Mary Gwynne Tillotson Nurse Practitioner 82 Oxford Ave, Buffalo, NY 14209-1406 2020-10-28
1780284273 Angela Abramov Nurse Practitioner 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 2020-10-26
1407455967 Marie J. Schwarz, Npp-bc PC Nurse Practitioner 133 E Main St Ste 3h, Babylon, NY 11702-3517 2020-10-25
1720687015 Ashley Winn Nurse Practitioner 367 E Chester St, Long Beach, NY 11561-2324 2020-10-19
1114525961 Tanya Monique Sydnor Holmes Nurse Practitioner 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 2020-10-14
1669079976 Mary Lynn Good Nurse Practitioner 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 2020-10-08
1376140277 Megan Elizabeth Bhatti Nurse Practitioner 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 2020-10-04
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Competitor

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City STONY BROOK
Zip Code 11794

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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