CHRISTIAN WITHERELL NP IN PSYCHIATRY PLLC
NPI 1376314690
Nurse Practitioner - Psychiatric/Mental Health in Southold, NY
About Christian Witherell Np In Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTIAN WITHERELL NP IN PSYCHIATRY PLLC (NPI 1376314690) is a healthcare organization registered as a psychiatric/mental health in Southold, New York and active in the NPI registry since January 2024. The organization lists Christian Witherell, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christian Witherell Np In Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Christian Witherell Np In Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Christian Witherell Np In Psychiatry PLLC's NPI number?
The NPI number for Christian Witherell Np In Psychiatry PLLC is 1376314690. It was assigned to this organization in the NPPES registry on January 15, 2024.
Where is Christian Witherell Np In Psychiatry PLLC located?
Christian Witherell Np In Psychiatry PLLC is located at 19995 Soundview Ave, Southold, NY 11971. The listed phone number is (631) 260-1326.
What is Christian Witherell Np In Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Christian Witherell Np In Psychiatry PLLC enrolled in Medicare?
Yes. Christian Witherell Np In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Christian Witherell Np In Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Christian Witherell Np In Psychiatry PLLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Christian Witherell Np In Psychiatry PLLC was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Christian Witherell Np In Psychiatry Pllc · NPI 1376314690
Psychiatric/Mental Health organization in Southold, New York. Organization record, active in the CMS NPPES registry since January 15, 2024.
## Identity
- **NPI:** 1376314690 (Entity type: Organization)
- **Enumerated:** January 15, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Christian Witherell, SOLE MEMBER
## Practice location
- **Address:** 19995 SOUNDVIEW AVE, Southold, NY 11971-2820
- **Phone:** (631) 260-1326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376314690) · Data from the CMS NPPES public registry.