SUNRISE PARK PSYCHOTHERAPY LCSW PC
NPI 1376288530
Clinic/Center - Adult Mental Health in Wantagh, NY

Q: What is Sunrise Park Psychotherapy Lcsw PC's NPI number?

The NPI number for Sunrise Park Psychotherapy Lcsw PC is 1376288530. It was assigned to this organization in the NPPES registry on May 2, 2022.

Q: What is Sunrise Park Psychotherapy Lcsw PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 02, 2022

1228 WANTAGH AVE STE 111, WANTAGH, NY 11793(516) 644-6495(516) 324-3143 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sunrise Park Psychotherapy Lcsw Pc NPPES

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

SUNRISE PARK PSYCHOTHERAPY LCSW PC (NPI 1376288530) is a healthcare organization registered as an adult mental health in Wantagh, New York and active in the NPI registry since May 2022. The organization lists Gina Marie Cubillos, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1376288530

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameSUNRISE PARK PSYCHOTHERAPY LCSW PC

Location Address1228 WANTAGH AVE STE 111Wantagh, NY 11793-2209

Mailing Address1228 Wantagh Ave Ste 111Wantagh, NY 11793-2209 · (516) 644-6495 · Fax (516) 324-3143

Phone(516) 644-6495

Fax(516) 324-3143

Organization SubpartNo

Authorized OfficialGina Marie CubillosOwner/provider · (516) 644-6495

Enumeration DateMay 2, 2022

NPPES CertifiedMay 2, 2022

✔ NPI 1376288530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1228 WANTAGH AVE STE 111, Wantagh, NY 11793

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Other Identifiers 2

Other1048692NY · Beacon Health Options

OtherNKN592NY · Bcbs Anthem Id

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 Park Psychotherapy Lcsw PC's NPI number?

The NPI number for Sunrise Park Psychotherapy Lcsw PC is 1376288530. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Sunrise Park Psychotherapy Lcsw PC located?

Sunrise Park Psychotherapy Lcsw PC is located at 1228 Wantagh Ave Ste 111, Wantagh, NY 11793. The listed phone number is (516) 644-6495.

What is Sunrise Park Psychotherapy Lcsw PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Sunrise Park Psychotherapy Lcsw PC was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.