SUFFOLK BEHAVIORAL MEDICINE P.C
NPI 1124312566
Psychiatry & Neurology - Psychiatry in Melville, NY

Active since June 02, 2011
535 BROADHOLLOW RD, MELVILLE, NY 11747(631) 513-6262 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suffolk Behavioral Medicine P.c NPPES

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

SUFFOLK BEHAVIORAL MEDICINE P.C (NPI 1124312566) is a healthcare organization registered as a psychiatry in Melville, New York and active in the NPI registry since June 2011. The organization lists Mulchand Chugh, Director, as its authorized official.

NPPES Registry Identity

NPI1124312566
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSUFFOLK BEHAVIORAL MEDICINE P.C
Location Address535 BROADHOLLOW RDMelville, NY 11747-3713
Mailing Address535 Broad Hollow Road, Suite B-12Melville, NY 11747 · (631) 513-6262
Organization SubpartNo
Authorized OfficialMulchand ChughDirector · (631) 513-6262
Enumeration DateJune 2, 2011
Last NPPES UpdateMarch 7, 2013
✔ NPI 1124312566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 245951
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
535 BROADHOLLOW RD, Melville, NY 11747

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suffolk Behavioral Medicine P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111128000004Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suffolk Behavioral Medicine P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1164613139
2277 GRAND AVENUE SOUTH NASSAU COMMUNITIES HOSPITAL MENTAL HEALTH COUNSE
Baldwin, NY 11510
(631) 377-5400
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2048811

Suffolk Behavioral Medicine PC · Plainview, NY
Expired · Oct 23, 2026
CLIA Number33D2048811
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorDr. Mulchand Chugh
Laboratory Phone(631) 513-6262
Laboratory LocationSuffolk Behavioral Medicine PC1097 Old Country Road, Suite 105, Plainview, NY 11803
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Suffolk Behavioral Medicine P.C's NPI number?

The NPI number for Suffolk Behavioral Medicine P.C is 1124312566. It was assigned to this organization in the NPPES registry on June 2, 2011.

Where is Suffolk Behavioral Medicine P.C located?

Suffolk Behavioral Medicine P.C is located at 535 Broadhollow Rd, Melville, NY 11747. The listed phone number is (631) 513-6262.

What is Suffolk Behavioral Medicine P.C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Suffolk Behavioral Medicine P.C enrolled in Medicare?

Yes. Suffolk Behavioral Medicine P.C is registered in the Medicare PECOS enrollment system.

When is Suffolk Behavioral Medicine P.C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Suffolk Behavioral Medicine P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Suffolk Behavioral Medicine P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suffolk Behavioral Medicine P.C was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.