LONG ISLAND PSYCHIATRIC SERVICES - NP IN PSYCHIATRY, PLLC (NPI# 1477951713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477951713 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND PSYCHIATRIC SERVICES - NP IN PSYCHIATRY, PLLC |
| Practice Address |
21 Redwood Ln Smithtown NY 11787-2718 |
| Mailing Address |
21 Redwood Lane Smithtown NY 11787 |
| Practice Telephone | 5164569384 |
| Practice Fax Number | 6312978444 |
| Mailing Telephone | 5164569384 |
| Mailing Fax Number | 6312978444 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | DR. ZVI S YADIN (NURSE PRACTITIO0NER IN PSYCHIATRY) |
| Authorized Official Telephone | 5164569384 |
| Authorized Official Credential | PH.D, NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
400794 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21 REDWOOD LN |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821178476 | Zvi Steve Yadin | Psychologist | 21 Redwood Ln, Smithtown, NY 11787-2718 | 2006-10-17 |
| 1184021503 | North Shore Addiction and Mental Health Counseling Services, Pllc | Counselor | 21 Redwood Ln, Smithtown, NY 11787-2718 | 2014-12-01 |
| 1700152295 | Kimberly M Larsen-krugman | Counselor | 21 Redwood Ln, Smithtown, NY 11787-2718 | 2012-03-28 |
| 1154634509 | Oren Michael Shefet | Psychologist | 21 Redwood Ln, Smithtown, NY 11787-2718 | 2010-07-14 |
| 1558589473 | Amira Simha-alpern | Psychologist | 21 Redwood Ln, Smithtown, NY 11787-2718 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306249735 | Janine Desimone | Nurse Practitioner | 20 Gilbert Ave Ste 202, Smithtown, NY 11787 | 2014-09-30 |
| 1679871032 | Bernadette Barron | Nurse Practitioner | 1 Cresthill Pl, Smithtown, NY 11787-3703 | 2011-03-09 |
| 1679606784 | Lorraine Ricciardi Golden | Nurse Practitioner | 99 Hollywood Dr., Smithtown, NY 11787 | 2007-03-14 |
| 1366507345 | Barbara Ruth Sprung | Nurse Practitioner | 412 Sunset Ln, Smithtown, NY 11787-4422 | 2006-12-27 |
| 1326052333 | Catherine Zillmann | Nurse Practitioner | 363 Route 111 Ste 103, Smithtown, NY 11787-4750 | 2006-07-27 |
| 1578513107 | Catherine Bridget O'brien | Nurse Practitioner | 637 Veterans Hwy, Smithtown, NY 11787-4309 | 2006-05-12 |
| 1194337253 | Eva Dziergowska | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2020-08-20 |
| 1992320725 | Thao Nguyen Nurse Practitioner In Psychiatry PC | Nurse Practitioner | 88 Terry Rd, Smithtown, NY 11787-3811 | 2020-06-08 |
| 1942864640 | Lauren Tita | Nurse Practitioner | 222 E Middle Country Rd Ste 310, Smithtown, NY 11787-2814 | 2019-04-28 |
| 1518452390 | Christina Stern | Nurse Practitioner | 222 E Middle Country Rd Ste 210, Smithtown, NY 11787-2814 | 2018-06-25 |
| Find all providers in SMITHTOWN | ||||
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| 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.