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

Sunrise Park Psychotherapy LCSW PC

Organization Adult Mental Health Clinic/Center · NPI 1376288530

Sunrise Park Psychotherapy LCSW PC is an Adult Mental Health Clinic/Center in Wantagh, New York. Registered with an NPI since 2022.

In the registry since
2022
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

1228 Wantagh Ave Ste 111
Wantagh, NY 11793-2209
Phone: (516) 644-6495
Fax: (516) 324-3143
Show map & directions

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

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1376288530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Cubillos — Owner/Provider · (516) 644-6495
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022
Mailing address1228 Wantagh Ave Ste 111, Wantagh, NY 11793-2209

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