# MENTAL HEALTH NURSE PRACTITIONER CONSULTATION SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114122991
- **Authorized official:** MS. CATHERINE BRIDGET OBRIEN NPP, APRN (PRESIDENT)
- **Authorized official phone:** (631) 656-9761

## Contact information

- **Practice address:** 637 VETERANS HWY, SMITHTOWN, NY 11787-4309
- **Practice address phone:** (631) 656-9761
- **Practice address fax:** (631) 656-9765
- **Mailing address:** 637 VETERANS HWY, SMITHTOWN, NY 11787-4309
- **Mailing address phone:** (631) 656-9761
- **Mailing address fax:** (631) 656-9765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F400083 | NY | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 01/12/2015