| Island Psychiatry, P.c. | |
|
200 Belle Terre Rd Port Jefferson NY 11777-1968 | |
| (631) 474-6000 | |
| Not Available |
| Full Name | Island Psychiatry, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 200 Belle Terre Rd, Port Jefferson, New York |
| Authorized Official Name and Position | Randall Solomon (OWNER) |
| Authorized Official Contact | 6314748099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Psychiatry, P.c. 200 Belle Terre Rd Port Jefferson Station NY 11777-1968 Ph: (631) 474-6000 | Island Psychiatry, P.c. 200 Belle Terre Rd Port Jefferson NY 11777-1968 Ph: (631) 474-6000 |
| NPI Number | 1609249754 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 05/16/2026 |
| Certification Date | 05/16/2026 |
| Medicare PECOS PAC ID | 9032490610 |
|---|---|
| Medicare Enrollment ID | O20161220001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609249754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| Provider Name | Randall Solomon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780733360 PECOS PAC ID: 8123084431 Enrollment ID: I20041208000830 |
| Provider Name | Kim Patricia Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053319947 PECOS PAC ID: 5597785329 Enrollment ID: I20051123000058 |
| Provider Name | Nicolas Cerniglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235504853 PECOS PAC ID: 4284924895 Enrollment ID: I20180426002563 |
| Provider Name | Kathy Junior |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235448424 PECOS PAC ID: 6608108659 Enrollment ID: I20191024002147 |
| Provider Name | April M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972135481 PECOS PAC ID: 2062801855 Enrollment ID: I20211117000752 |
| Provider Name | Nicole M Kocka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659047314 PECOS PAC ID: 0840689378 Enrollment ID: I20211122002706 |
| Provider Name | Glenn M Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417444712 PECOS PAC ID: 2567857246 Enrollment ID: I20220316000090 |
| Provider Name | Elizabeth W Raffanello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780376251 PECOS PAC ID: 0143680033 Enrollment ID: I20230725000286 |
| Provider Name | Randolph Joshua Malsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730891755 PECOS PAC ID: 1658720925 Enrollment ID: I20231212001619 |
| Provider Name | Ryan A Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235495466 PECOS PAC ID: 8123460177 Enrollment ID: I20240522003704 |
| Provider Name | Rinkal B Newkirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598273088 PECOS PAC ID: 3779018627 Enrollment ID: I20241202001136 |
| Provider Name | Jessica M Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700310547 PECOS PAC ID: 0547796534 Enrollment ID: I20241213002941 |
Integrated Psychotherapy Counseling Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Mariners Way, Port Jefferson, NY 11777 Phone: 934-246-6042 | |
Thrive Counseling Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Stuarts Ct, Port Jefferson, NY 11777 Phone: 516-457-5218 | |
Hope Tms Medical Practice Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Main St, Suite 201, Port Jefferson, NY 11777 Phone: 631-509-6111 Fax: 631-509-6112 | |
Lauren Hunter Lcsw P.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 Main St Ste 301, Port Jefferson, NY 11777 Phone: 631-560-0914 | |
John T. Mather Memorial Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-1459 | |
Kim Tassinari Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Sawtooth Cv, Port Jefferson, NY 11777 Phone: 203-313-4313 | |
Dr. Gabrielle Mcandrews, Psy.d., Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20 Crooked Oak Rd, Port Jefferson, NY 11777 Phone: 631-331-9083 Fax: 631-331-9083 |