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

NPI Status: Active since April 26, 2021

Contact Information

167 BROADWAY
AMITYVILLE, NY
ZIP 11701
Phone: (631) 317-9480
Fax: (231) 216-7467

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC

This page provides the complete NPI Profile along with additional information for South Shore Collaborative Psychiatry Np Pllc, a provider established in Amityville, New York operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1942882246 assigned on April 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Samantha Roche Dnp (Pmhnp-bc)

NPI
1942882246
Provider Name
SOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC
Entity Type
Organization
Location Address
167 BROADWAY AMITYVILLE, NY 11701
Location Phone
(631) 317-9480
Location Fax
(231) 216-7467
Mailing Address
167 BROADWAY AMITYVILLE, NY 11701
Mailing Phone
(631) 317-9480
Mailing Fax
(231) 216-7467
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2021
Last Update Date
07-25-2025
Code Navigator

A nurse practitioner (NP) like South Shore Collaborative Psychiatry Np Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 200 Carleton Ave
    East Islip, NY 11730
    (631) 317-9480

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMANTHA ROCHE DNP

Authorized Official Title
PMHNP-BC
Authorized Official Phone
(631) 317-9480

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942882246, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 6 + 8 + 4 + 2 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1942882246.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
167 BROADWAY
AMITYVILLE, NY 11701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942882246, enumerated as an "organization" on April 26, 2021.

The provider is located at 167 BROADWAY AMITYVILLE, NY 11701 and the phone number is (631) 317-9480.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.