Healthcare Provider Details

I. General information

NPI: 1245176551
Provider Name (Legal Business Name): NEUREAN PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W MERRICK RD STE 201C
FREEPORT NY
11520-3743
US

IV. Provider business mailing address

155 W MERRICK RD STE 201C
FREEPORT NY
11520-3743
US

V. Phone/Fax

Practice location:
  • Phone: 516-774-2521
  • Fax:
Mailing address:
  • Phone: 516-774-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AUTUMN JOYCE
Title or Position: OWNER
Credential: NP
Phone: 917-617-4758