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

South Shore NP Psychiatry, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1629847124

South Shore NP Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Wantagh, New York. Registered with an NPI since 2023.

In the registry since
2023
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

3330 Park Ave Ste 9 2ND Fl
Wantagh, NY 11793-3719
Phone: (516) 931-0619
Fax: (516) 879-3099
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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 number1629847124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatyana Goykhberg — Np · (347) 741-9301
NPI enumeratedDecember 26, 2023
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address3330 Park Avenue, Suite 9 2nd Floor, Wantagh, NY 11793-3719

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