Shore to Shore Psychiatry P.C.
NPI 1508624990 · Psychiatry Physician · Port Jefferson Station, NY
Shore to Shore Psychiatry P.C. is a Psychiatry Physician organization in Port Jefferson Station, NY (NPI 1508624990).
Provider details
- NPI number
- 1508624990
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Glenn, Owner(631) 403-6917
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
- 2024-03-11
- Last updated
- 2024-03-11
- Certified
- 2024-03-10
Frequently asked questions
- What is Shore to Shore Psychiatry P.C.'s NPI number?
- Shore to Shore Psychiatry P.C.'s National Provider Identifier (NPI) is 1508624990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shore to Shore Psychiatry P.C.?
- Shore to Shore Psychiatry P.C. is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Shore to Shore Psychiatry P.C. located?
- Shore to Shore Psychiatry P.C.'s practice location on file with NPPES is 1660 Route 112 # C1, Port Jefferson Station, NY 11776-8057.
- What is Shore to Shore Psychiatry P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Shore to Shore Psychiatry P.C. is (631) 403-6917.
- Who is the authorized official for Shore to Shore Psychiatry P.C.?
- The authorized official listed on Shore to Shore Psychiatry P.C.'s NPPES record is Robert Glenn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shore to Shore Psychiatry P.C.'s NPI active?
- Yes — Shore to Shore Psychiatry P.C.'s NPI (1508624990) is active in the NPPES registry as of the last update on 2024-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.