{"npi":"1558034835","type":"NPI-2","status":"active","name":{"display":"Island Lighthouse Consultation Services, NP In Psychiatry, P.C.","other":[],"organization_name":"ISLAND LIGHTHOUSE CONSULTATION SERVICES, NP IN PSYCHIATRY, P.C.","authorised_official":"John Prato"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"627 BROADWAY STE 200","city":"MASSAPEQUA","state":"NY","postal_code":"117585031","country_code":"US","phone":"5163990797"},{"purpose":"MAILING","street_1":"627 BROADWAY STE 200","city":"MASSAPEQUA","state":"NY","postal_code":"117585031","country_code":"US","phone":"5163990797"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-07-31","last_updated":"2024-11-18","_meta":{"source":"NPPES","snapshot_date":"2024-11-18","doc_url":"https://findmynpi.com/api"}}