1. Home
  2. Directory
  3. New York
  4. Patchogue
  5. Registered Nurse
  6. NPI Profile

CHRISTINA M. SUOZZO NP PSYCHIATRY PC
NPI 1639587652
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Patchogue, NY

Active since July 23, 2014
475 E MAIN ST, SUITE 211, PATCHOGUE, NY 11772(631) 569-4646(631) 893-4020 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christina M. Suozzo Np Psychiatry Pc NPPES

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

CHRISTINA M. SUOZZO NP PSYCHIATRY PC (NPI 1639587652) is a healthcare organization registered as a psychiatric/mental health, child & adolescent in Patchogue, New York and active in the NPI registry since July 2014. The organization lists Debra Coane, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639587652
Entity TypeOrganization
Primary Taxonomy163WP0807X
Legal Business NameCHRISTINA M. SUOZZO NP PSYCHIATRY PC
Location Address475 E MAIN ST, SUITE 211Patchogue, NY 11772-3121
Mailing Address475 E Main St, Suite 211Patchogue, NY 11772-3121 · (631) 569-4646 · Fax (631) 893-4020
Phone(631) 569-4646
Fax(631) 893-4020
Organization SubpartNo
Authorized OfficialDebra CoaneOffice Manager · (631) 681-4754
Enumeration DateJuly 23, 2014
Last NPPES UpdateMarch 7, 2023
✔ NPI 1639587652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in NY · F401022
475 E MAIN ST, Patchogue, NY 11772
Open in Google Maps ↗

Other Identifiers 2

Other933831NY · Medicare Ptan
Medicaid02931419NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina M. Suozzo Np Psychiatry 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20140905000075Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Christina M. Suozzo Np Psychiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christina Suozzo, NP
Nurse Practitioner
NPI 1184824278
475 E MAIN ST SUITE 211
Patchogue, NY 11772
(631) 569-4646
✔ PECOSSame address

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 Christina M. Suozzo Np Psychiatry PC's NPI number?

The NPI number for Christina M. Suozzo Np Psychiatry PC is 1639587652. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Christina M. Suozzo Np Psychiatry PC located?

Christina M. Suozzo Np Psychiatry PC is located at 475 E Main St Suite 211, Patchogue, NY 11772. The listed phone number is (631) 569-4646.

What is Christina M. Suozzo Np Psychiatry PC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

Is Christina M. Suozzo Np Psychiatry PC enrolled in Medicare?

Yes. Christina M. Suozzo Np Psychiatry PC is registered in the Medicare PECOS enrollment system.

When is Christina M. Suozzo Np Psychiatry 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 Christina M. Suozzo Np Psychiatry PC?

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

When was this NPI record last updated?

The NPPES record for Christina M. Suozzo Np Psychiatry PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.