ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC - NPI 1093433898 - Nurse Practitioner in Valley Stream, NY

Q: What is Envision Psychiatric Nurse Practitioner 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 Envision Psychiatric Nurse Practitioner Pllc NPPES

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

ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC (NPI 1093433898) is a healthcare organization registered as a psychiatric/mental health in Valley Stream, New York and active in the NPI registry since August 2022. The organization lists Tamara Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1093433898

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC

Location Address70 E SUNRISE HWY STE 500Valley Stream, NY 11581-1233

Mailing Address70 E Sunrise Hwy Ste 500Valley Stream, NY 11581-1233 · (516) 988-0974 · Fax (718) 719-4217

Phone(516) 988-0974

Organization SubpartNo

Authorized OfficialTamara GordonOwner · (516) 988-0974

Enumeration DateAugust 17, 2022

NPPES CertifiedAugust 17, 2022

✔ NPI 1093433898 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

70 E SUNRISE HWY STE 500, Valley Stream, NY 11581

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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

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.

ANGELIQUE SIENNA KINLEY

Behavior Technician