Provider Demographics
NPI:1659090603
Name:TIMELY PSYCHIATRY AND FAMILY HEALTH NP PRACTICE
Entity Type:Organization
Organization Name:TIMELY PSYCHIATRY AND FAMILY HEALTH NP PRACTICE
Other - Org Name:TIMELY PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, PMHNP, FNP
Authorized Official - Phone:516-854-0101
Mailing Address - Street 1:230 HILTON AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8116
Mailing Address - Country:US
Mailing Address - Phone:516-854-0101
Mailing Address - Fax:
Practice Address - Street 1:230 HILTON AVE STE 15
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8116
Practice Address - Country:US
Practice Address - Phone:516-854-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)