THE FAMILY TREE PSYCHIATRIC & MEDICAL SERVICES
NPI 1427238005
Psychiatry & Neurology - Psychiatry in Port Jefferson Station, NY

NPI Status: Active since November 12, 2007

Contact Information

5225 NESCONSET HWY STE 46
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 209-1477
Fax: (631) 744-3246

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About THE FAMILY TREE PSYCHIATRIC & MEDICAL SERVICES

This page provides the complete NPI Profile along with additional information for The Family Tree Psychiatric & Medical Services, a provider established in Port Jefferson Station, New York operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1427238005 assigned on November 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 199981 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert Daniel Colucci D.o. (President)

NPI
1427238005
Provider Name
THE FAMILY TREE PSYCHIATRIC & MEDICAL SERVICES
Entity Type
Organization
Location Address
5225 NESCONSET HWY STE 46 PORT JEFFERSON STATION, NY 11776
Location Phone
(631) 209-1477
Location Fax
(631) 744-3246
Mailing Address
70 COBBLESTONE DR SHOREHAM, NY 11786
Mailing Phone
(631) 209-1477
Mailing Fax
(631) 744-3246
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2007
Last Update Date
11-12-2007
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A psychiatrist like The Family Tree Psychiatric & Medical Services are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
199981
License State
NY
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT DANIEL COLUCCI D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 209-1477

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02916365MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427238005
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447431600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 3 + 1 + 6 + 0 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1427238005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619483989DR. PATRICK JOSEPH MCCAULEY III PSYD
Individual
Psychologist (Clinical)5225 NESCONSET HWY STE 46
PORT JEFFERSON STATION, NY 11776
(646) 523-6318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427238005, enumerated in the NPI registry as an "organization" on November 12, 2007

The provider is located at 5225 Nesconset Hwy Ste 46 Port Jefferson Station, Ny 11776 and the phone number is (631) 209-1477

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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