# PHOENIX NURSE PRACTITIONERS IN PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1396607040
- **Authorized official:** DR. JANINE DESIMONE PMHNP-BC (OWNER)
- **Authorized official phone:** (631) 921-1949

## Contact information

- **Practice address:** 732 SMITHTOWN BYP STE 206, SMITHTOWN, NY 11787-5020
- **Practice address phone:** (631) 986-0388
- **Practice address fax:** (866) 598-0217
- **Mailing address:** 3 BAYLOR DR, SMITHTOWN, NY 11787-2001
- **Mailing address phone:** (631) 986-0388
- **Mailing address fax:** (866) 598-0217

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2025
- **Last updated:** 12/02/2025