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MR. ROBERT W SOUTHARD NP
NPI 1972695377
Nurse Practitioner - Psychiatric/Mental Health in Riverhead, NY

Active since September 29, 2006
1380 ROANOKE AVE, RIVERHEAD, NY 11901(631) 369-0022(631) 369-5336 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Robert W Southard Np NPPES

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

MR. ROBERT W SOUTHARD NP (NPI 1972695377) is an individual psychiatric/mental health provider in Riverhead, New York, licensed in New York (F400418) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1972695377
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ROBERT W SOUTHARDCredential: NP
Location Address1380 ROANOKE AVERiverhead, NY 11901-2098
Mailing Address1380 Roanoke AveRiverhead, NY 11901-2098 · (631) 369-0022 · Fax (631) 369-5336
Phone(631) 369-0022
Fax(631) 369-5336
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateDecember 10, 2010
✔ NPI 1972695377 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
License✔ Licensed in NY · F400418
1380 ROANOKE AVE, Riverhead, NY 11901
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Other Identifiers 1

Medicare UPINS58673NY

Other Providers at the Same Location NPPES 13

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

CLARISSA A FAVICHIA LMHC
Counselor (Mental Health)
1380 ROANOKE AVE, 1ST FLOOR
RIVERHEAD, NY 11901
Suffolk County (631) 369-0022
ANDREA HOPKINS LMSW
Social Worker
1380 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-4418
CATHERINE RACHEL DAWSON LMSW
Social Worker
1380 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-4418
DENNIS CHRISTOPHER SKOW LMSW
Social Worker
1380 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0022
KRISTIN LOUISE CREAMER-WILLIAMSON LMSW
Social Worker
1380 ROANOKE AVE, 2ND FLOOR
RIVERHEAD, NY 11901
Suffolk County (631) 369-4418
NICOLE L. BOLINA LMSW
Social Worker
1380 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0022
ALANNA LOUISE KUGLER RN, LMSW
Social Worker
1380 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0022
CLUBHOUSE OF SUFFOLK, INC
Case Management
1380 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-4418

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 Robert Southard's NPI number?

The NPI number for Robert Southard is 1972695377. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Robert Southard located?

Robert Southard practices at 1380 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 369-0022.

What is Robert Southard'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 Robert Southard was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.