Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GOOD SAMARITAN UNIVERSITY HOSPITAL- ST. CHARLES CAMPUS
NPI 1275447716
Psychologist in Port Jefferson, NY

Active since October 01, 2026
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6000 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Good Samaritan University Hospital- St. Charles Campus NPPES

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

GOOD SAMARITAN UNIVERSITY HOSPITAL- ST. CHARLES CAMPUS (NPI 1275447716) is a healthcare organization registered as a psychologist in Port Jefferson, New York and active in the NPI registry since October 2026. The organization lists Lorraine Hummel, Vp, Physician Enterprise Financial, as its authorized official.

NPPES Registry Identity

NPI1275447716
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameGOOD SAMARITAN UNIVERSITY HOSPITAL- ST. CHARLES CAMPUS
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928
Mailing AddressPo Box 95000-6540Philadelphia, PA 19195-0001 · (631) 465-6121
Organization SubpartNo
Authorized OfficialLorraine HummelVp, Physician Enterprise Financial · (631) 465-6001
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1275447716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
200 BELLE TERRE RD, Port Jefferson, NY 11777

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.

Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Audiologist-Hearing Aid Fitter
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physical Therapist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Occupational Therapist (Pediatrics)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pharmacist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777

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 Good Samaritan University Hospital- St. Charles Campus's NPI number?

The NPI number for Good Samaritan University Hospital- St. Charles Campus is 1275447716. It was assigned to this organization in the NPPES registry on October 1, 2026.

Where is Good Samaritan University Hospital- St. Charles Campus located?

Good Samaritan University Hospital- St. Charles Campus is located at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6000.

What is Good Samaritan University Hospital- St. Charles Campus's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Good Samaritan University Hospital- St. Charles Campus was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.