Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MACKILLOP, NP
Active Sole ProprietorAMANDA MACKILLOP, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SOUTHOLD, New York. NPI 1770128753 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SOUTHOLD, NY
Registration Details
- NPI Number
- 1770128753
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2019 (6.5700615814162 yrs)
- Last Updated
- Dec 17, 2025
- Licenses
-
403484 (NY)780342 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
54655 MAIN RDSOUTHOLD, NY, 119714769Browse NY providers · Browse ZIP 11971
- Phone
- 6313012271
- Fax
- 6312120482
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Registered Nurse
Other Psychiatric/Mental Health Nurse Practitioner Providers in SOUTHOLD, NY
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN WITHERELL | PMHNP-BC | 1144948175 |
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.