LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC
NPI 1164823340
Nurse Practitioner - Psychiatric/Mental Health in Blue Point, NY

Active since September 08, 2014
20 MONTAUK HWY, BLUE POINT, NY 11715(516) 810-0475 Get Directions Write a Review

NPPES record last updated: September 8, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lorraine Sullivan, Nurse Practitioner Psychiatry Pllc NPPES

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

LORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC (NPI 1164823340) is a healthcare organization registered as a psychiatric/mental health in Blue Point, New York and active in the NPI registry since September 2014. The organization lists Lorraine Sullivan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1164823340
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLORRAINE SULLIVAN, NURSE PRACTITIONER PSYCHIATRY PLLC
Location Address20 MONTAUK HWYBlue Point, NY 11715-1139
Mailing Address756 Blue Ridge DrMedford, NY 11763-1209
Organization SubpartNo
Authorized OfficialLorraine SullivanNurse Practitioner · (516) 810-0475
Enumeration DateSeptember 8, 2014
✔ NPI 1164823340 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 · F400014
20 MONTAUK HWY, Blue Point, NY 11715

Other Identifiers 1

Medicaid02362756NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorraine Sullivan, Nurse Practitioner Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1801995493
1747 VETERANS HWY STE 24
Islandia, NY 11749
(631) 853-7300
✔ PECOS✔ Accepts Medicare8.2 mi

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

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 Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC's NPI number?

The NPI number for Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC is 1164823340. It was assigned to this organization in the NPPES registry on September 8, 2014.

Where is Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC located?

Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC is located at 20 Montauk Hwy, Blue Point, NY 11715. The listed phone number is (516) 810-0475.

What is Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC's specialty?

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

Is Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC enrolled in Medicare?

Yes. Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC. 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 Lorraine Sullivan, Nurse Practitioner Psychiatry PLLC was last updated on September 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.