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

South Shore Collaborative Psychiatry NP PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1942882246

South Shore Collaborative Psychiatry NP PLLC is a Psychiatric/Mental Health Nurse Practitioner in Amityville, New York. Works from 2 locations. Registered with an NPI since 2021.

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

See every abbreviation used in this directory →

Practice location Address checks out

167 Broadway
Amityville, NY 11701-2782
Phone: (631) 317-9480
Fax: (231) 216-7467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Carleton Ave, East Islip, NY 11730-1222 — (631) 317-9480

Specialties & licences

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

Record details

NPI number1942882246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Roche — Pmhnp-Bc · (631) 317-9480
NPI enumeratedApril 26, 2021
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address167 Broadway, Amityville, NY 11701-2782

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