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

Island Lighthouse Consultation Services, NP in Psychiatry, PC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1558034835

Island Lighthouse Consultation Services, NP in Psychiatry, PC is a Psychiatric/Mental Health Nurse Practitioner in Massapequa, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

627 Broadway Ste 200
Massapequa, NY 11758-5031
Phone: (516) 399-0797
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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 number1558034835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Prato — President · (516) 399-0797
NPI enumeratedJuly 31, 2021
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address627 Broadway Ste 200, Massapequa, NY 11758-5031

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