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

Nicole A Sandberg, MSN-PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1639546336

Nicole A Sandberg, MSN-PMHNP is a Nurse Practitioner in Stony Brook, New York. Qualified in 2015, 11 years ago. Practices with Stony Brook Psychiatric Associates University Faculty Practice Corpor, a 101-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 638-1575
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 · Licence 401946 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 660968 (NY)

Record details

NPI number1639546336
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN-PMHNP
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook