LAURA CHAN, NURSE PRACTITIONER-PSYCHIATRY, P.C. (NPI# 1659669208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659669208 |
| Entity Type | Organization |
| Organization Name | LAURA CHAN, NURSE PRACTITIONER-PSYCHIATRY, P.C. |
| Practice Address |
646 Main St Suite 201 Port Jefferson NY 11777-2235 |
| Practice Telephone | 6315242031 |
| Mailing Telephone | 6315242031 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | LAURA CHAN (OWNER) |
| Authorized Official Telephone | 5165242031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
646 MAIN ST SUITE 201 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325496 | Frank Farrell | Psychologist | 646 Main St, Port Jefferson, NY 11777-2235 | 2020-01-10 |
| 1952775934 | Farrell Psychological Services, Pllc | Psychologist | 646 Main St, Port Jefferson, NY 11777-2235 | 2015-11-13 |
| 1205248101 | Farrell Health Group LLC | Psychologist | 646 Main St, Port Jefferson, NY 11777-2235 | 2014-05-27 |
| 1043562986 | Hope Tms Medical Practice PC | Clinic/Center | 646 Main St, Suite 201, Port Jefferson, NY 11777-2235 | 2012-10-02 |
| 1669692448 | Extendacare Inc. | Home Infusion | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-04-26 |
| 1619000296 | Karen Sivin | Social Worker | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-03-13 |
| 1104964410 | Robert David Polin | Social Worker | 646 Main St, Lower Level, Port Jefferson, NY 11777 | 2007-02-01 |
| 1962557629 | Jagdish Gidwani | Psychiatry & Neurology | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-01-24 |
| 1700930286 | Linda Joyce Bucaria | Psychologist | 646 Main St, Port Jefferson, NY 11777 | 2007-01-22 |
| 1528119294 | Debra Joan Kingsley | Counselor | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| 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 |
|---|---|---|---|---|
| 1538367560 | Claire Smith | Nurse Practitioner | 7 Village Woods Rd, Port Jefferson, NY 11777-1428 | 2007-07-11 |
| 1538379201 | Florence Mary Wissert | Nurse Practitioner | I High St, Port Jefferson, NY 11777 | 2007-05-23 |
| 1376193722 | Kurt Pinto | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2019-09-18 |
| 1366836652 | Maureen Cataldo | Nurse Practitioner | 100 Highlands Blvd, Suite 201, Port Jefferson, NY 11777-2320 | 2015-03-24 |
| 1285771188 | Susan Morin | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-31 |
| 1285770339 | Deborah Rose-adams | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-29 |
| 1952447005 | Gloria Mccann Fortune | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-29 |
| 1164575080 | Denise Driscoll | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on LAURA CHAN, NURSE PRACTITIONER-PSYCHIATRY, P.C..
| 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.