MEDICARE: NEUREAN PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1245176551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUREAN PSYCHIATRY

Provider Business Mailing Address
First Line	:	155 W MERRICK RD STE 201C
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3743
Country	:	US
Telephone Number	:	516-774-2521
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 W MERRICK RD STE 201C
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3743
Country	:	US
Telephone Number	:	516-774-2521
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AUTUMN JOYCE
Credential	:	NP
Telephone Number	:	917-617-4758

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “NEUREAN PSYCHIATRY ” Practice Location

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