SUNRISE PSYCHOLOGY, PLLC
NPI 1366796005
Psychologist - Clinical in Smithtown, NY
About Sunrise Psychology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE PSYCHOLOGY, PLLC (NPI 1366796005) is a healthcare organization registered as a clinical in Smithtown, New York and active in the NPI registry since November 2012. The organization lists Eva Marie Greco, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Sunrise Psychology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sunrise Psychology, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Sunrise Psychology, PLLC's NPI number?
The NPI number for Sunrise Psychology, PLLC is 1366796005. It was assigned to this organization in the NPPES registry on November 2, 2012.
Where is Sunrise Psychology, PLLC located?
Sunrise Psychology, PLLC is located at 363 Route 111 Ste 102, Smithtown, NY 11787. The listed phone number is (631) 780-6804.
What is Sunrise Psychology, PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Sunrise Psychology, PLLC enrolled in Medicare?
Yes. Sunrise Psychology, PLLC is registered in the Medicare PECOS enrollment system.
When is Sunrise Psychology, PLLC'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 January 31, 2027. 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 Sunrise Psychology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sunrise Psychology, 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 Sunrise Psychology, PLLC was last updated on November 2, 2012. 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.
# Sunrise Psychology, Pllc · NPI 1366796005
Clinical organization in Smithtown, New York. Organization record, active in the CMS NPPES registry since November 2, 2012.
## Identity
- **NPI:** 1366796005 (Entity type: Organization)
- **Enumerated:** November 2, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Eva Greco, OWNER
## Practice location
- **Address:** 363 ROUTE 111 STE 102, Smithtown, NY 11787-4750
- **Phone:** (631) 780-6804 · **Fax:** (631) 780-6806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1366796005) · Data from the CMS NPPES public registry.