Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John T. Mather Memorial Hospital

Organization Psychiatry Physician · NPI 1376642371

John T. Mather Memorial Hospital provides Psychiatry Physician services in Port Jefferson Station, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

75 N Country Rd
Port Jefferson Station, NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 686-7972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1376642371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wisnoski — Vice President Finance · (631) 473-1320
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing addressPo Box 6435, Brattleboro, VT 05302-6435

Other providers in Port Jefferson Station