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EAGLE PSYCH LLC
NPI 1295607778
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since September 23, 2025
1682 VICTORY BLVD STE 4, STATEN ISLAND, NY 10314(929) 768-4099 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2026, Dec 22, 2025 (2 updates tracked since 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
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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Psych LLC's NPI number?

The NPI number for Eagle Psych LLC is 1295607778. It was assigned to this organization in the NPPES registry on September 23, 2025.

Where is Eagle Psych LLC located?

Eagle Psych LLC is located at 1682 Victory Blvd Ste 4, Staten Island, NY 10314. The listed phone number is (929) 768-4099.

What is Eagle Psych LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eagle Psych LLC was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.