EAGLE PSYCH LLC
NPI 1295607778
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY
Active since September 23, 2025
About Eagle Psych Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE PSYCH LLC (NPI 1295607778) is a healthcare organization registered as a psychiatric/mental health in Staten Island, New York and active in the NPI registry since September 2025. The organization lists David O Alabi, Authorized Official, as its authorized official.
NPPES Registry Identity
NPI1295607778
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEAGLE PSYCH LLC
Location Address1682 VICTORY BLVD STE 4Staten Island, NY 10314-3506
Mailing Address1682 Victory Blvd Ste 4Staten Island, NY 10314-3506 · (929) 768-4099
Phone(929) 768-4099
Organization SubpartNo
Authorized OfficialDavid O AlabiAuthorized Official · (973) 262-4936
Enumeration DateSeptember 23, 2025
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1295607778 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
1682 VICTORY BLVD STE 4, Staten Island, NY 10314
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295607778, enumerated as an "organization" on September 23, 2025.
The provider is located at 1682 VICTORY BLVD STE 4 STATEN ISLAND, NY 10314 and the phone number is (929) 768-4099.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
