# NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC

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

## Provider details

- **NPI number:** 1619847241
- **Authorized official:** SUSANE HILARY FRITH-HEADLEY DNP, FNP, PMHNP (OWNER/FOUNDER)
- **Authorized official phone:** (917) 856-3100

## Contact information

- **Practice address:** 11714 228TH ST, CAMBRIA HEIGHTS, NY 11411-1720
- **Practice address phone:** (917) 554-5594
- **Mailing address:** 11714 228TH ST, CAMBRIA HEIGHTS, NY 11411-1720
- **Mailing address phone:** (917) 554-5594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2025
- **Last updated:** 12/11/2025