Southside Hospital Department of Psychiatry
NPI 1881650869 · Psychiatry Physician · Bay Shore, NY
Southside Hospital Department of Psychiatry is a Psychiatry Physician organization in Bay Shore, NY (NPI 1881650869).
Provider details
- NPI number
- 1881650869
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southside Hospital
- Organization subpart
- Yes
- Authorized official
- Winifred Mack, Executive Director(631) 968-9000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-04-26
- Last updated
- 2008-08-13
Frequently asked questions
- What is Southside Hospital Department of Psychiatry's NPI number?
- Southside Hospital Department of Psychiatry's National Provider Identifier (NPI) is 1881650869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Hospital Department of Psychiatry?
- Southside Hospital Department of Psychiatry is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Hospital Department of Psychiatry located?
- Southside Hospital Department of Psychiatry's practice location on file with NPPES is 301 E Main St, Bay Shore, NY 11706-8408.
- What is Southside Hospital Department of Psychiatry's phone number?
- The practice phone number listed in the NPPES registry for Southside Hospital Department of Psychiatry is (631) 675-4149.
- Who is the authorized official for Southside Hospital Department of Psychiatry?
- The authorized official listed on Southside Hospital Department of Psychiatry's NPPES record is Winifred Mack, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Hospital Department of Psychiatry's NPI active?
- Yes — Southside Hospital Department of Psychiatry's NPI (1881650869) is active in the NPPES registry as of the last update on 2008-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.