Shore To Shore Psychiatry P.c.
Psychiatry Clinic
1660 Route 112 # C1, Port Jefferson Station
New York, 11776-8057
631-403-6917 631-938-1006
Maps & DirectionsShore To Shore Psychiatry P.c. is a Psychiatry Clinic in Port Jefferson Station, New York. It is located at 1660 Route 112 # C1, Port Jefferson Station, NY and its contact number is 631-403-6917. The authorized person for Shore To Shore Psychiatry P.c. is Mr. Robert C Glenn
who is Owner of the clinic and his/her contact number is 631-403-6917.
Shore To Shore Psychiatry P.c. Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Shore To Shore Psychiatry P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shore To Shore Psychiatry P.c. |
| Specialization: | Psychiatry |
| Clinic Address: | 1660 Route 112 # C1, Port Jefferson Station, New York, 11776-8057 |
| Phone: | 631-403-6917 |
| Fax: | 631-938-1006 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Robert C Glenn |
| Position: | Owner |
| Contact Number: | 631-403-6917 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shore To Shore Psychiatry P.c. clinic are as mentioned below.
| NPI Number: | 1508624990 |
| NPI Enumeration Date: | 11 Mar, 2024 |
| NPI Last Update On: | 11 Mar, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shore To Shore Psychiatry P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 319049-01 | Other | New York | Medical License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shore To Shore Psychiatry P.c. 1660 Route 112 # C1, Port Jefferson Station, New York |
| Zip: | 11776-8057 |
| Phone Number: | 631-403-6917 |
| Fax Number: | 631-938-1006 |
Patients can reach Shore To Shore Psychiatry P.c. at
1660 Route 112 # C1, Port Jefferson Station, New York or can
call to book an appointment on 631-403-6917.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.