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SALLY SOUTH NP
NPI 1528498375
Nurse Practitioner - Psychiatric/Mental Health in Wantagh, NY

Active since November 14, 2013
3408 PARK AVE, WANTAGH, NY 11793(516) 221-2123 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2020, Oct 27, 2018 (2 updates tracked since 2018).

About Sally South Np NPPES

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

SALLY SOUTH NP (NPI 1528498375) is an individual psychiatric/mental health provider in Wantagh, New York, licensed in New York (F401632-1) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1528498375
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSALLY SOUTHCredential: NP
Location Address3408 PARK AVEWantagh, NY 11793-3702
Mailing Address3408 Park AveWantagh, NY 11793-3702 · (516) 320-4206 · Fax (888) 524-5729
Phone(516) 221-2123
Sole ProprietorYes
Enumeration DateNovember 14, 2013
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1528498375 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
Licenses✔ Licensed in NY · F401632-1✔ Licensed in NY · 401632
3408 PARK AVE, Wantagh, NY 11793
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUVIVIER NP-BC, DNP
Nurse Practitioner (Psychiatric/Mental Health)
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123
ANNE MARIE RUVOLO LMSW
Social Worker
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123
JENNA SANTOS
Psychologist
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123
JANE AXMAN
Counselor (Mental Health)
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123
CHRISTINE A BURROWS MS
Counselor (Mental Health)
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (631) 949-6464
LAGER LCSW, PC
Social Worker (Clinical)
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123
MRS. KAITLYN ANNE WALLNER LMSW
Social Worker
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123
MICHELLE CINNAMO
Counselor (Mental Health)
3408 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 221-2123

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 Sally South's NPI number?

The NPI number for Sally South is 1528498375. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Sally South located?

Sally South practices at 3408 Park Ave, Wantagh, NY 11793. The listed phone number is (516) 221-2123.

What is Sally South'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 Sally South was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.