Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTIAN WITHERELL, PMHNP-BC
Active Sole ProprietorCHRISTIAN WITHERELL, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SOUTHOLD, New York. NPI 1144948175 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SOUTHOLD, NY
Registration Details
- NPI Number
- 1144948175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2022 (3.8140342487019 yrs)
- Last Updated
- Apr 15, 2025
- License
-
404304 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19995 SOUNDVIEW AVESOUTHOLD, NY, 119712820Browse NY providers · Browse ZIP 11971
- Phone
- 6313355541
- Fax
- 6319392006
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in SOUTHOLD, NY
| Name | Credential | NPI |
|---|---|---|
| AMANDA MACKILLOP | NP | 1770128753 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.