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

Sibimol Niravath, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235956095

Sibimol Niravath, PMHNP-BC is a Nurse Practitioner in Medford, New York. Qualified in 2024, 2 years ago. Practices with Catholic Charities of the Diocese of Rockville Centre, a 20-clinician group, works from 2 locations and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1727 N Ocean Ave
Medford, NY 11763-2649
Phone: (631) 654-1919
Show map & directions

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

Additional practice locations (1)

  • 75-59 263rd Street, Glen Oaks, NY 11004 — (718) 470-8100

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406360 (NY)

Record details

NPI number1235956095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 23, 2024
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Catholic Charities Of The Diocese Of Rockville Centre — 20 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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