FURTHER NURSE PRACTITIONER IN PSYCHIATRY PRACTICE PLLC - NPI 1063358711

Q: What is Further Nurse Practitioner In Psychiatry Practice PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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About Further Nurse Practitioner In Psychiatry Practice Pllc NPPES

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

FURTHER NURSE PRACTITIONER IN PSYCHIATRY PRACTICE PLLC (NPI 1063358711) is a healthcare organization registered as a psychiatric/mental health in West Babylon, New York and active in the NPI registry since April 2026. The organization lists Michael M Tobin, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1063358711

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameFURTHER NURSE PRACTITIONER IN PSYCHIATRY PRACTICE PLLC

Location Address609 ROUTE 109 STE 2DWest Babylon, NY 11704-5000

Mailing Address445 Broad Hollow Rd, Suite 25 #40Melville, NY 11747 · (631) 318-4490 · Fax (631) 983-6132

Phone(631) 318-4490

Fax(631) 983-6132

Organization SubpartNo

Authorized OfficialMichael M TobinOwner/managing Member · (631) 318-4490

Enumeration DateApril 27, 2026

NPPES CertifiedApril 26, 2026

✔ NPI 1063358711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

609 ROUTE 109 STE 2D, West Babylon, NY 11704

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Further Nurse Practitioner In Psychiatry Practice PLLC's NPI number?

The NPI number for Further Nurse Practitioner In Psychiatry Practice PLLC is 1063358711. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Further Nurse Practitioner In Psychiatry Practice PLLC located?

Further Nurse Practitioner In Psychiatry Practice PLLC is located at 609 Route 109 Ste 2D, West Babylon, NY 11704. The listed phone number is (631) 318-4490.

What is Further Nurse Practitioner In Psychiatry Practice PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Further Nurse Practitioner In Psychiatry Practice PLLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.