Great Water Land Services Nurse Practitioner in Psychiatry PLLC
NPI 1386463040 · Psychiatric/Mental Health Nurse Practitioner · Massapequa, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Water Land Services Nurse Practitioner in Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Massapequa, NY (NPI 1386463040).
Provider details
- NPI number
- 1386463040
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jill Ryan, Nurse Practitioner(516) 695-0389
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Great Water Land Services Nurse Practitioner in Psychiatry PLLC's NPI number?
- Great Water Land Services Nurse Practitioner in Psychiatry PLLC's National Provider Identifier (NPI) is 1386463040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Water Land Services Nurse Practitioner in Psychiatry PLLC?
- Great Water Land Services Nurse Practitioner in Psychiatry PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Great Water Land Services Nurse Practitioner in Psychiatry PLLC located?
- Great Water Land Services Nurse Practitioner in Psychiatry PLLC's practice location on file with NPPES is 166 Euclid Ave, Massapequa, NY 11758-4207.
- What is Great Water Land Services Nurse Practitioner in Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Water Land Services Nurse Practitioner in Psychiatry PLLC is (516) 695-0389.
- Does Great Water Land Services Nurse Practitioner in Psychiatry PLLC accept Medicare?
- Great Water Land Services Nurse Practitioner in Psychiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Water Land Services Nurse Practitioner in Psychiatry PLLC?
- The authorized official listed on Great Water Land Services Nurse Practitioner in Psychiatry PLLC's NPPES record is Jill Ryan, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Water Land Services Nurse Practitioner in Psychiatry PLLC's NPI active?
- Yes — Great Water Land Services Nurse Practitioner in Psychiatry PLLC's NPI (1386463040) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.