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

Phoenix Nurse Practitioners in Psychiatry, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1396607040

Phoenix Nurse Practitioners in Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Smithtown, New York. Registered with an NPI since 2025.

In the registry since
2025
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

732 Smithtown Byp Ste 206
Smithtown, NY 11787-5020
Phone: (631) 986-0388
Fax: (866) 598-0217
Show map & directions

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 number1396607040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janine Desimone — Owner · (631) 921-1949
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address3 Baylor Dr, Smithtown, NY 11787-2001

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