CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC (NPI# 1457790198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457790198 |
| Entity Type | Organization |
| Organization Name | CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC |
| Practice Address |
349 Meeting House Ln Southampton NY 11968-5051 |
| Practice Telephone | 6314953300 |
| Practice Fax Number | 6318222833 |
| Mailing Telephone | 6314953300 |
| Mailing Fax Number | 6318222833 |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2013-06-16 |
| Authorized Official Name | MS. CATHERINE POULOS (NURSE PRACTITIONER) |
| Authorized Official Telephone | 6314953300 |
| Authorized Official Credential | NPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401489-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
349 MEETING HOUSE LN |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922136522 | Stephen Braun | Neuromusculoskeletal Medicine & OMM | 349 Meeting House Ln, Southampton, NY 11968-5051 | 2007-03-02 |
| 1861760589 | Peggy Karen Kraus | Counselor | 349 Meeting House Ln, Southampton, NY 11968-5051 | 2011-12-08 |
| 1033414255 | Amy E Suessle | Neuromusculoskeletal Medicine & OMM | 349 Meeting House Ln, Old Town Medical Village, Southampton, NY 11968-5051 | 2011-01-19 |
| 1487847869 | Stephen T Braun Do Pllc | Family Medicine | 349 Meeting House Ln, Southampton, NY 11968-5051 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
Please comment or provide details below to improve the information on CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.