1. Home
  2. Directory
  3. New York
  4. Commack
  5. Psychiatry Neurology
  6. NPI Profile

ISLAND PSYCHIATRIC CARE
NPI 1649532797
Psychiatry & Neurology - Child & Adolescent Psychiatry in Commack, NY

Active since June 14, 2012
6277 JERICHO TPKE, COMMACK, NY 11725(631) 628-6868(631) 628-6869 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Island Psychiatric Care NPPES

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

ISLAND PSYCHIATRIC CARE (NPI 1649532797) is a healthcare organization registered as a child & adolescent psychiatry in Commack, New York and active in the NPI registry since June 2012. The organization lists Asra F Siddiqi, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1649532797
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameNORTH SHORE CHILD PSYCHIATRY PC
Location Address6277 JERICHO TPKECommack, NY 11725-2837
Mailing Address6277 Jericho TpkeCommack, NY 11725-2837 · (631) 628-6868 · Fax (631) 628-6869
Phone(631) 628-6868
Fax(631) 628-6869
Organization SubpartNo
Authorized OfficialAsra F SiddiqiOwner/operator · (631) 623-6868
Enumeration DateJune 14, 2012
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1649532797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 232678
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
6277 JERICHO TPKE, Commack, NY 11725
Open in Google Maps ↗

Other Names 1

Doing Business AsIsland Psychiatric Care

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)

Island Psychiatric Care 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 Island Psychiatric Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Asra Siddiqi, MD
Psychiatry
NPI 1013007715
6277 JERICHO TURNPIKE
Commack, NY 11725
(631) 742-7378
✔ PECOS✔ Accepts MedicareSame 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 North Shore Child Psychiatry PC's NPI number?

The NPI number for North Shore Child Psychiatry PC is 1649532797. It was assigned to this organization in the NPPES registry on June 14, 2012. The provider is doing business as Island Psychiatric Care.

Where is North Shore Child Psychiatry PC located?

North Shore Child Psychiatry PC is located at 6277 Jericho Tpke, Commack, NY 11725. The listed phone number is (631) 628-6868.

What is North Shore Child Psychiatry PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is North Shore Child Psychiatry PC enrolled in Medicare?

Yes. North Shore Child Psychiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Child Psychiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to North Shore Child 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 North Shore Child Psychiatry PC was last updated on November 16, 2023. 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.