| North Shore Psychiatric Consultants Pc | |
|
180 E Main St Ste 302 Smithtown NY 11787-2811 | |
| (631) 265-6868 | |
| (631) 265-6890 |
| Full Name | North Shore Psychiatric Consultants Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 180 E Main St Ste 302, Smithtown, New York |
| Authorized Official Name and Position | Jessica Degorter (BILLING MANAGER) |
| Authorized Official Contact | 9109159207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Psychiatric Consultants Pc 180 E Main St Ste 302 Smithtown NY 11787-2811 Ph: (631) 265-6868 | North Shore Psychiatric Consultants Pc 180 E Main St Ste 302 Smithtown NY 11787-2811 Ph: (631) 265-6868 |
| NPI Number | 1558489864 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 1456240928 |
|---|---|
| Medicare Enrollment ID | O20110627000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558489864 | NPI | - | NPPES |
| 00981388 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Suzanne L Tuzel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114090719 PECOS PAC ID: 3870771660 Enrollment ID: I20111222000625 |
| Provider Name | Robert S Castroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407929003 PECOS PAC ID: 7416135207 Enrollment ID: I20111228000339 |
| Provider Name | Shelly J Epstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255407987 PECOS PAC ID: 8325226111 Enrollment ID: I20120110000466 |
| Provider Name | Christina Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518452390 PECOS PAC ID: 5092063669 Enrollment ID: I20180731000190 |
| Provider Name | Carreen Castroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639313398 PECOS PAC ID: 7810237831 Enrollment ID: I20190328001702 |
| Provider Name | Erik Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356915987 PECOS PAC ID: 4981007200 Enrollment ID: I20210724000100 |
| Provider Name | Lauren Tableman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423674 PECOS PAC ID: 2860857745 Enrollment ID: I20230427002596 |
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