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

Nicole Taub, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730688862

Nicole Taub, PMHNP is a Nurse Practitioner in Bayport, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2018
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

704 Middle Rd
Bayport, NY 11705-1920
Phone: (631) 664-6563
Show map & directions

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

Additional practice locations (1)

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 — (516) 320-8441

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F402274-1 (NY)

Record details

NPI number1730688862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedFebruary 5, 2018
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare