South Shore Collaborative Psychiatry NP PLLC
NPI 1942882246 · Psychiatric/Mental Health Nurse Practitioner · Amityville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore Collaborative Psychiatry NP PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Amityville, NY (NPI 1942882246).
Provider details
- NPI number
- 1942882246
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Samantha Roche, Pmhnp-Bc(631) 317-9480
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
2 documented practice locations
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
Additional practice locations (1)
- 200 Carleton AveEast Islip, NY 11730-1222Phone: (631) 317-9480
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Frequently asked questions
- What is South Shore Collaborative Psychiatry NP PLLC's NPI number?
- South Shore Collaborative Psychiatry NP PLLC's National Provider Identifier (NPI) is 1942882246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Collaborative Psychiatry NP PLLC?
- South Shore Collaborative Psychiatry NP PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Shore Collaborative Psychiatry NP PLLC located?
- South Shore Collaborative Psychiatry NP PLLC's practice location on file with NPPES is 167 Broadway, Amityville, NY 11701-2782.
- What is South Shore Collaborative Psychiatry NP PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Shore Collaborative Psychiatry NP PLLC is (631) 317-9480.
- Does South Shore Collaborative Psychiatry NP PLLC accept Medicare?
- South Shore Collaborative Psychiatry NP 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 Collaborative Psychiatry NP PLLC?
- The authorized official listed on South Shore Collaborative Psychiatry NP PLLC's NPPES record is Samantha Roche, Pmhnp-Bc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Collaborative Psychiatry NP PLLC's NPI active?
- Yes — South Shore Collaborative Psychiatry NP PLLC's NPI (1942882246) is active in the NPPES registry as of the last update on 2025-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.