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

Psychiatric Nurse Practitioner Services PC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1124340641

Psychiatric Nurse Practitioner Services PC is a Psychiatric/Mental Health Nurse Practitioner in Northport, New York. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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

5036 Jericho Tpke Ste 203
Northport, NY 11725
Phone: (631) 462-5222
Fax: (631) 462-5258
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
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X

Record details

NPI number1124340641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Moore — Psychiatric Nurse Practitioner · (631) 848-7104
NPI enumeratedFebruary 25, 2010
Last updated in NPPESMarch 25, 2011
Mailing address5036 Jericho Turnpike, Northport, NY 11768

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