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

Southside Hospital Department of Psychiatry

Organization Psychiatry Physician · NPI 1881650869

Southside Hospital Department of Psychiatry is a Psychiatry Physician in Bay Shore, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 675-4149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1881650869
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Hospital
Authorized official Winifred Mack — Executive Director · (631) 968-9000
NPI enumeratedApril 26, 2006
Last updated in NPPESAugust 13, 2008
Mailing address301 E Main St, Bay Shore, NY 11706-8408

Other providers in Bay Shore