=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679496731
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANQUILITY NURSE PRACTITIONERS IN PSYCHIATRY, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2026
-----------------------------------------------------
Last Update Date | 08/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 BROADHOLLOW RD STE 207
-----------------------------------------------------
City | MELVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11747-4806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-707-2394
-----------------------------------------------------
Fax | 631-824-9118
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 BROADHOLLOW RD STE 207
-----------------------------------------------------
City | MELVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11747-4806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-707-2394
-----------------------------------------------------
Fax | 631-824-9118
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | DR. STACY H SCHOENBACH
-----------------------------------------------------
Credential | DNP
-----------------------------------------------------
Telephone | 631-707-2394
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------