| Psychiatric Care Medical Pllc | |
|
273 Moriches Rd Saint James NY 11780-2117 | |
| (917) 969-3445 | |
| Not Available |
| Full Name | Psychiatric Care Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 273 Moriches Rd, Saint James, New York |
| Authorized Official Name and Position | Kyle Lapidus (DIRECTOR) |
| Authorized Official Contact | 9179693445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Care Medical Pllc 26 Crane Neck Rd Setauket NY 11733-1630 Ph: () - | Psychiatric Care Medical Pllc 273 Moriches Rd Saint James NY 11780-2117 Ph: (917) 969-3445 |
| NPI Number | 1952946386 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 0749616241 |
|---|---|
| Medicare Enrollment ID | O20200131000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952946386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anne E Marmorale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265552285 PECOS PAC ID: 3375692189 Enrollment ID: I20090528000223 |
| Provider Name | Kyle A Lapidus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790927283 PECOS PAC ID: 9436390572 Enrollment ID: I20130801000134 |
| Provider Name | Marie C Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366877797 PECOS PAC ID: 2163640467 Enrollment ID: I20140828001269 |
| Provider Name | Amalia Per |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124353438 PECOS PAC ID: 6608180427 Enrollment ID: I20150806010649 |
| Provider Name | Margot E Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114081916 PECOS PAC ID: 6608045505 Enrollment ID: I20181010003242 |
| Provider Name | Shanequa Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174059919 PECOS PAC ID: 1355764572 Enrollment ID: I20200707001936 |
| Provider Name | Dawn R Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275143554 PECOS PAC ID: 2466871355 Enrollment ID: I20200925001332 |
| Provider Name | Nichola Narima Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225641145 PECOS PAC ID: 9638580699 Enrollment ID: I20201123001578 |
| Provider Name | Phanessa Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215359336 PECOS PAC ID: 2769893692 Enrollment ID: I20201129000023 |
| Provider Name | Joseph Charles Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235618257 PECOS PAC ID: 7911318464 Enrollment ID: I20201204001386 |
| Provider Name | Eva Dziergowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194337253 PECOS PAC ID: 5496169823 Enrollment ID: I20210127000112 |
| Provider Name | Shreen Pamela Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417218660 PECOS PAC ID: 0244559557 Enrollment ID: I20220111000318 |
| Provider Name | Foluke Adesola Akinola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881352789 PECOS PAC ID: 4385039486 Enrollment ID: I20220325002133 |
| Provider Name | Jennifer Ann Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922651231 PECOS PAC ID: 1951757715 Enrollment ID: I20231031000468 |
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