Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc
Prescribing (Medical) - Psychology Clinic
21 W 2nd St, Suite 11, Riverhead
New York, 11901-2752
631-624-7839 631-865-5857
Maps & DirectionsMary 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.