SOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC
NPI 1942882246
Nurse Practitioner - Psychiatric/Mental Health in Amityville, NY

Q: What is South Shore Collaborative Psychiatry Np PLLC's specialty?

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

Active since April 26, 2021

167 BROADWAY, AMITYVILLE, NY 11701(631) 317-9480(231) 216-7467 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Apr 26, 2021 (2 updates tracked since 2021).

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About South Shore Collaborative Psychiatry Np Pllc NPPES

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

SOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC (NPI 1942882246) is a healthcare organization registered as a psychiatric/mental health in Amityville, New York and active in the NPI registry since April 2021. The organization maintains a secondary practice location in East Islip and lists Samantha Roche, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1942882246

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC

Location Address167 BROADWAYAmityville, NY 11701-2782

Mailing Address167 BroadwayAmityville, NY 11701-2782 · (631) 317-9480 · Fax (231) 216-7467

Phone(631) 317-9480

Fax(231) 216-7467

Organization SubpartNo

Authorized OfficialSamantha RochePmhnp-bc · (631) 317-9480

Enumeration DateApril 26, 2021

Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1942882246 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

167 BROADWAY, Amityville, NY 11701

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Secondary Practice Location 1

Location 1200 Carleton AveEast Islip, NY 11730-1222 · Phone (631) 317-9480

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SAMANTHA ROCHE PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

167 BROADWAY
AMITYVILLE, NY 11701

Suffolk County (631) 317-9480

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 Collaborative Psychiatry Np PLLC's NPI number?

The NPI number for South Shore Collaborative Psychiatry Np PLLC is 1942882246. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is South Shore Collaborative Psychiatry Np PLLC located?

South Shore Collaborative Psychiatry Np PLLC is located at 167 Broadway, Amityville, NY 11701. The listed phone number is (631) 317-9480.

What is South Shore Collaborative Psychiatry Np PLLC'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 South Shore Collaborative Psychiatry Np PLLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.