Healthcare Provider Details

I. General information

NPI: 1730701020
Provider Name (Legal Business Name): CHRISTINA MEIGS APRN, NCC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 PUTNAM HALL
STONY BROOK NY
11795
US

IV. Provider business mailing address

169 PUTNAM HALL
STONY BROOK NY
11795
US

V. Phone/Fax

Practice location:
  • Phone: 631-632-2428
  • Fax:
Mailing address:
  • Phone: 631-632-2428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number406675
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN296621
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: