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SOUTH SHORE NP PSYCHIATRY, PLLC
NPI 1629847124
Nurse Practitioner - Psychiatric/Mental Health in Wantagh, NY

Active since December 26, 2023
3330 PARK AVENUE, SUITE 9 2ND FLOOR, WANTAGH, NY 11793(516) 931-0619(516) 879-3099 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Shore Np Psychiatry, Pllc NPPES

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

SOUTH SHORE NP PSYCHIATRY, PLLC (NPI 1629847124) is a healthcare organization registered as a psychiatric/mental health in Wantagh, New York and active in the NPI registry since December 2023. The organization lists Tatyana Goykhberg, Np, as its authorized official.

NPPES Registry Identity

NPI1629847124
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTH SHORE NP PSYCHIATRY, PLLC
Location Address3330 PARK AVENUE, SUITE 9 2ND FLOORWantagh, NY 11793-3719
Mailing Address3330 Park Avenue, Suite 9 2nd FloorWantagh, NY 11793-3719 · (516) 931-0619 · Fax (516) 879-3099
Phone(516) 931-0619
Fax(516) 879-3099
Organization SubpartNo
Authorized OfficialTatyana GoykhbergNp · (347) 741-9301
Enumeration DateDecember 26, 2023
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1629847124 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
3330 PARK AVENUE, Wantagh, NY 11793
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Np Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Shore Np Psychiatry, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tatyana Goykhberg, PMHNP
Nurse Practitioner
NPI 1326699679
4190 SUNRISE HIGHWAY SUITE A
Massapequa, NY 11758
(516) 765-7799
✔ PECOS1.6 mi

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 South Shore Np Psychiatry, PLLC's NPI number?

The NPI number for South Shore Np Psychiatry, PLLC is 1629847124. It was assigned to this organization in the NPPES registry on December 26, 2023.

Where is South Shore Np Psychiatry, PLLC located?

South Shore Np Psychiatry, PLLC is located at 3330 Park Avenue Suite 9 2nd Floor, Wantagh, NY 11793. The listed phone number is (516) 931-0619.

What is South Shore Np Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is South Shore Np Psychiatry, PLLC enrolled in Medicare?

Yes. South Shore Np Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Np Psychiatry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to South Shore Np Psychiatry, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Shore Np Psychiatry, PLLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.