Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shore To Shore Psychiatry P.C.

Q: What is the NPI number for Shore To Shore Psychiatry P.C.?

The NPI for Shore To Shore Psychiatry P.C. is 1508624990, a Type 2 (organization) record in the CMS NPPES registry.

Psychiatry Physician in Port Jefferson Station, NY · enumerated 2024 · authorized official Robert Glenn, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508624990

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Registry record

Entity type Organization (Type 2)

Legal business name Shore To Shore Psychiatry P.C.

Practice address 1660 Route 112 # C1, Port Jefferson Station, NY, 11776

Phone (631) 403-6917

Fax (631) 938-1006

Enumeration date Mar 11, 2024

Last updated in NPPES Mar 11, 2024

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Glenn

Title Owner

Phone (631) 403-6917

Other identifiers

Identifier	Type	State	Issuer
319049-01	Other	NY	MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shore To Shore Psychiatry P.C.?

The NPI for Shore To Shore Psychiatry P.C. is 1508624990, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Shore To Shore Psychiatry P.C.?

NPPES lists Robert Glenn (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-11.