Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Good Samaritan University Hospital- St Charles Campus

Organization Psychologist · NPI 1275447716

Good Samaritan University Hospital- St Charles Campus provides Psychologist services in Port Jefferson, New York. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6
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Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1275447716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorraine Hummel — Vp, Physician Enterprise Financial · (631) 465-6001
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026
Mailing addressPo Box 95000-6540, Philadelphia, PA 19195-0001

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