Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc is a Prescribing (Medical) - Psychology Clinic in Riverhead, New York. It is located at 21 W 2nd St, Suite 11, Riverhead, NY and its contact number is 631-624-7839. The authorized person for Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc is Mary Martin
who is Owner of the clinic and his/her contact number is 631-766-3210. The primary license number for Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc is 401909 (Prescribing (Medical)) in New York. Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc Clinic is a licensed psychologist who has completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and is authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Complete Clinic Profile:
Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc
Specialization:
Prescribing (Medical) Psychology
Clinic Address:
21 W 2nd St, Suite 11, Riverhead, New York, 11901-2752
Phone:
631-624-7839
Fax:
631-865-5857
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:
Mary Martin
Position:
Owner
Contact Number:
631-766-3210
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 Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc clinic are as mentioned below.
NPI Number:
1578921623
NPI Enumeration Date:
04 Feb, 2016
NPI Last Update On:
04 Feb, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc are as mentioned below.
Specialization
License Number
State
Status
Prescribing (Medical)
401909
New York
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
13554525
Other
New York
Caqh
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc 375 W Mill Rd, Mattituck, New York
Zip:
11952-2079
Phone Number:
631-766-3210
Fax Number:
631-865-5857
Patients can reach Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc at 21 W 2nd St, Suite 11, Riverhead, New York or can call to book an appointment on 631-624-7839. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.