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

South Shore Psychiatric Nurse Practitioner Group

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1558979377

South Shore Psychiatric Nurse Practitioner Group is a Psychiatric/Mental Health Nurse Practitioner in Bay Shore, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

245 W Main St
Bay Shore, NY 11706-8323
Phone: (631) 771-7555
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 number1558979377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tennille Braithwaite — Office Mgr · (631) 400-9251
NPI enumeratedJuly 17, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address154 Chichester Ave, Center Moriches, NY 11934-2004

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