Provider Demographics
NPI: | 1154218527 |
---|---|
Name: | HAPPY NURSE PRACTITIONER IN PSYCHIATRY PLLC |
Entity type: | Organization |
Organization Name: | HAPPY NURSE PRACTITIONER IN PSYCHIATRY PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ROBERTA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GIORGI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | NP |
Authorized Official - Phone: | 929-737-9117 |
Mailing Address - Street 1: | 405 RXR PLZ STE 405 |
Mailing Address - Street 2: | |
Mailing Address - City: | UNIONDALE |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11556-3811 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 929-737-9117 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3 WALDEN CT |
Practice Address - Street 2: | |
Practice Address - City: | EAST MORICHES |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11940-1800 |
Practice Address - Country: | US |
Practice Address - Phone: | 929-737-9117 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-06-19 |
Last Update Date: | 2025-06-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |