Provider Demographics
NPI:1619847241
Name:NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANE
Authorized Official - Middle Name:HILARY
Authorized Official - Last Name:FRITH-HEADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-856-3100
Mailing Address - Street 1:11714 228TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1720
Mailing Address - Country:US
Mailing Address - Phone:917-554-5594
Mailing Address - Fax:
Practice Address - Street 1:11714 228TH ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1720
Practice Address - Country:US
Practice Address - Phone:917-554-5594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-08
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty