ARCK NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1700464682
Nurse Practitioner - Psychiatric/Mental Health in Hauppauge, NY
About Arck Nurse Practitioner In Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARCK NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1700464682) is a healthcare organization registered as a psychiatric/mental health in Hauppauge, New York and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Valley Stream and lists Ricardo Miller, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arck Nurse Practitioner In Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Arck Nurse Practitioner In Psychiatry PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
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 Arck Nurse Practitioner In Psychiatry PLLC's NPI number?
The NPI number for Arck Nurse Practitioner In Psychiatry PLLC is 1700464682. It was assigned to this organization in the NPPES registry on March 31, 2021.
Where is Arck Nurse Practitioner In Psychiatry PLLC located?
Arck Nurse Practitioner In Psychiatry PLLC is located at 111 Smithtown Byp Ste 122, Hauppauge, NY 11788. The listed phone number is (516) 568-7032.
What is Arck Nurse Practitioner In Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Arck Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?
Yes. Arck Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arck Nurse Practitioner In Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Arck Nurse Practitioner In 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. The largest specialties are Nurse Practitioner (7) and Clinical Social Worker (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Arck Nurse Practitioner In Psychiatry PLLC was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Arck Nurse Practitioner In Psychiatry Pllc · NPI 1700464682
Psychiatric/Mental Health organization in Hauppauge, New York. Organization record, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1700464682 (Entity type: Organization)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Ricardo Miller, NURSE PRACTITIONER
## Practice location
- **Address:** 111 SMITHTOWN BYP STE 122, Hauppauge, NY 11788-2512
- **Phone:** (516) 568-7032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700464682) · Data from the CMS NPPES public registry.