South Shore NP Psychiatry, PLLC
NPI 1629847124 · Psychiatric/Mental Health Nurse Practitioner · Wantagh, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore NP Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Wantagh, NY (NPI 1629847124).
Provider details
- NPI number
- 1629847124
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tatyana Goykhberg, NP(347) 741-9301
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
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
- 2023-12-26
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is South Shore NP Psychiatry, PLLC's NPI number?
- South Shore NP Psychiatry, PLLC's National Provider Identifier (NPI) is 1629847124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore NP Psychiatry, PLLC?
- South Shore NP Psychiatry, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Shore NP Psychiatry, PLLC located?
- South Shore NP Psychiatry, PLLC's practice location on file with NPPES is 3330 Park Avenue, Wantagh, NY 11793-3719.
- What is South Shore NP Psychiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Shore NP Psychiatry, PLLC is (516) 931-0619.
- Does South Shore NP Psychiatry, PLLC accept Medicare?
- South Shore NP 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 South Shore NP Psychiatry, PLLC?
- The authorized official listed on South Shore NP Psychiatry, PLLC's NPPES record is Tatyana Goykhberg, NP. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore NP Psychiatry, PLLC's NPI active?
- Yes — South Shore NP Psychiatry, PLLC's NPI (1629847124) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.