MARJORY BEAUBRUN
NPI 1083375125
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY

Active since December 30, 2021
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-1050 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marjory Beaubrun NPPES

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

MARJORY BEAUBRUN (NPI 1083375125) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (403696) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1083375125
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARJORY BEAUBRUN
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-1050
Sole ProprietorYes
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
NPI 1083375125 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
License Licensed in NY · 403696
101 NICOLLS RD, Stony Brook, NY 11794

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE
STONY BROOK, NY 11794
Nurse Anesthetist, Certified Registered
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
General Acute Care Hospital (Children)
101 NICOLLS RD
STONY BROOK, NY 11794

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 Marjory Beaubrun's NPI number?

The NPI number for Marjory Beaubrun is 1083375125. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Marjory Beaubrun located?

Marjory Beaubrun practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-1050.

What is Marjory Beaubrun'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 Marjory Beaubrun was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.