Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PSYCHIATRIC NURSE PRACTITIONER SERVICES PC
Active
Organization
PSYCHIATRIC NURSE PRACTITIONER SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MOORE (PSYCHIATRIC NURSE PRACTITIONER)
(631) 848-7104
Entity
Organization
Contact information
Practice address
5036 JERICHO TURNPIKE, SUITE 203, NORTHPORT, NY 11725
(631) 462-5222
(631) 462-5258
Mailing address
5036 JERICHO TURNPIKE, NORTHPORT, NY 11768
(631) 462-5222
(631) 462-5258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/25/2010
Last updated
03/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers