Organization · Type 2 NPI

Good Samaritan University Hospital- St. Charles Campus

Psychologist · Port Jefferson, NY

NPI number 1275447716 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Call (631) 474-6000 Map

Mailing address

PO Box 95000-6540
Philadelphia, PA 19195-0001

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Neurology Physician 2084N0400XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

147 other providers at this address

Other psychologist providers in Port Jefferson

See all in Port Jefferson →

About NPI 1275447716

Good Samaritan University Hospital- St. Charles Campus's National Provider Identifier is 1275447716, issued on Oct 1, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 1, 2026.