Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Envision Psychiatric Nurse Practitioner PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1093433898

Envision Psychiatric Nurse Practitioner PLLC is a Psychiatric/Mental Health Nurse Practitioner in Valley Stream, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Phone: (516) 988-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1093433898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Gordon — Owner · (516) 988-0974
NPI enumeratedAugust 17, 2022
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022
Mailing address70 E Sunrise Hwy Ste 500, Valley Stream, NY 11581-1233

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