NORTH SHORE PSYCHIATRIC CONSULTANTS PC
NPI 1558489864
Psychiatry & Neurology - Psychiatry in Smithtown, NY
About North Shore Psychiatric Consultants Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE PSYCHIATRIC CONSULTANTS PC (NPI 1558489864) is a healthcare organization registered as a psychiatry in Smithtown, New York and active in the NPI registry since March 2007. The organization lists Jessica Degorter, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
North Shore Psychiatric Consultants Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
9Medicare enrollment records show 9 clinicians reassign Medicare billing to North Shore Psychiatric Consultants PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Smithtown, NY 11787
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 North Shore Psychiatric Consultants PC's NPI number?
The NPI number for North Shore Psychiatric Consultants PC is 1558489864. It was assigned to this organization in the NPPES registry on March 26, 2007.
Where is North Shore Psychiatric Consultants PC located?
North Shore Psychiatric Consultants PC is located at 180 E Main St Ste 302, Smithtown, NY 11787. The listed phone number is (631) 265-6868.
What is North Shore Psychiatric Consultants PC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is North Shore Psychiatric Consultants PC enrolled in Medicare?
Yes. North Shore Psychiatric Consultants PC is registered in the Medicare PECOS enrollment system.
When is North Shore Psychiatric Consultants PC'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 November 30, 2026. 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 North Shore Psychiatric Consultants PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to North Shore Psychiatric Consultants PC. 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. The largest specialties are Nurse Practitioner (6) and Psychiatry (3). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for North Shore Psychiatric Consultants PC was last updated on June 18, 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.
# North Shore Psychiatric Consultants Pc · NPI 1558489864
Psychiatry organization in Smithtown, New York. Organization record, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1558489864 (Entity type: Organization)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Jessica Degorter, BILLING MANAGER
## Practice location
- **Address:** 180 E MAIN ST STE 302, Smithtown, NY 11787-2811
- **Phone:** (631) 265-6868 · **Fax:** (631) 265-6890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Psychiatry (3); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2024
- **Other identifiers:** Medicaid 00981388 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1558489864) · Data from the CMS NPPES public registry.