South Shore Psychiatric Nurse Practitioner Group
NPI 1558979377 · Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY
South Shore Psychiatric Nurse Practitioner Group is a Psychiatric/Mental Health Nurse Practitioner organization in Bay Shore, NY (NPI 1558979377).
Provider details
- NPI number
- 1558979377
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tennille Braithwaite, Office Mgr(631) 400-9251
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
5 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
- 2020-07-17
- Last updated
- 2020-07-21
- Certified
- 2020-07-21
Frequently asked questions
- What is South Shore Psychiatric Nurse Practitioner Group's NPI number?
- South Shore Psychiatric Nurse Practitioner Group's National Provider Identifier (NPI) is 1558979377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Psychiatric Nurse Practitioner Group?
- South Shore Psychiatric Nurse Practitioner Group is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Shore Psychiatric Nurse Practitioner Group located?
- South Shore Psychiatric Nurse Practitioner Group's practice location on file with NPPES is 245 W Main St, Bay Shore, NY 11706-8323.
- What is South Shore Psychiatric Nurse Practitioner Group's phone number?
- The practice phone number listed in the NPPES registry for South Shore Psychiatric Nurse Practitioner Group is (631) 771-7555.
- Who is the authorized official for South Shore Psychiatric Nurse Practitioner Group?
- The authorized official listed on South Shore Psychiatric Nurse Practitioner Group's NPPES record is Tennille Braithwaite, Office Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Psychiatric Nurse Practitioner Group's NPI active?
- Yes — South Shore Psychiatric Nurse Practitioner Group's NPI (1558979377) is active in the NPPES registry as of the last update on 2020-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.