MICHELE KELLY LPNP, NPP
NPI 1568958700
Nurse Practitioner - Psychiatric/Mental Health in Port Jefferson, NY

Active since July 10, 2018
1227 MAIN STREET, SUITE 201, PORT JEFFERSON, NY 11777(631) 235-2401(631) 689-3993 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michele Kelly Lpnp, Npp NPPES

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

MICHELE KELLY LPNP, NPP (NPI 1568958700) is a healthcare organization registered as a psychiatric/mental health in Port Jefferson, New York and active in the NPI registry since July 2018. The organization lists Michele A. Triolo, President, as its authorized official.

NPPES Registry Identity

NPI1568958700
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNURSE PRACTITIONER INFANT AND CHILD HEALTHCARE, PC
Location Address1227 MAIN STREET, SUITE 201Port Jefferson, NY 11777
Mailing AddressPo Box 631Miller Place, NY 11764 · (631) 235-2401 · Fax (631) 689-3993
Fax(631) 689-3993
Organization SubpartNo
Authorized OfficialMichele A. TrioloPresident · (631) 235-2401
Enumeration DateJuly 10, 2018
NPI 1568958700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F-400866-1
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 380749 (NY)
1227 MAIN STREET, Port Jefferson, NY 11777

Other Names 1

Doing Business AsMichele Kelly Lpnp, Npp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Nurse Practitioner Infant And Child Healthcare, PC's NPI number?

The NPI number for Nurse Practitioner Infant And Child Healthcare, PC is 1568958700. It was assigned to this organization in the NPPES registry on July 10, 2018. The provider is doing business as Michele Kelly Lpnp, Npp.

Where is Nurse Practitioner Infant And Child Healthcare, PC located?

Nurse Practitioner Infant And Child Healthcare, PC is located at 1227 Main Street Suite 201, Port Jefferson, NY 11777. The listed phone number is (631) 235-2401.

What is Nurse Practitioner Infant And Child Healthcare, PC'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 Nurse Practitioner Infant And Child Healthcare, PC was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.