PRIVATE PRACTICE PSYCHIATRY SERVICES LLC
NPI 1043869464
Counselor in Riverhead, NY

Active since September 09, 2019
67 E MAIN ST, RIVERHEAD, NY 11901(631) 392-4357(631) 392-4358 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Private Practice Psychiatry Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVATE PRACTICE PSYCHIATRY SERVICES LLC (NPI 1043869464) is a healthcare organization registered as a counselor in Riverhead, New York and active in the NPI registry since September 2019. The organization lists Deborah Petry, Counselor, as its authorized official.

NPPES Registry Identity

NPI1043869464
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePRIVATE PRACTICE PSYCHIATRY SERVICES LLC
Location Address67 E MAIN STRiverhead, NY 11901-2422
Mailing Address67 E Main StRiverhead, NY 11901-2422 · Fax (631) 392-4358
Fax(631) 392-4358
Organization SubpartNo
Authorized OfficialDeborah PetryCounselor · (631) 392-4357
Enumeration DateSeptember 9, 2019
NPI 1043869464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
67 E MAIN ST, Riverhead, NY 11901

Other Identifiers 1

Other1497856108NY · Commerical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Practice Psychiatry Services LLC's NPI number?

The NPI number for Private Practice Psychiatry Services LLC is 1043869464. It was assigned to this organization in the NPPES registry on September 9, 2019.

Where is Private Practice Psychiatry Services LLC located?

Private Practice Psychiatry Services LLC is located at 67 E Main St, Riverhead, NY 11901. The listed phone number is (631) 392-4357.

What is Private Practice Psychiatry Services LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Private Practice Psychiatry Services LLC was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.