Jack Suriano
PMHNP-BC | Nurse Practitioner - Psych/Mental Health
Putnam Hall, Stony Brook
New York, 11794-0001
631-632-2428
Jack Suriano is a Stony Brook, New York based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Jack Suriano is 405310-01 for Psych/Mental Health in New York. His current practice location is Putnam Hall, Stony Brook. Patients can reach him at 631-632-2428. Jack Suriano is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1275313165.
Jack Suriano provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jack Suriano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jack Suriano |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Practice Address: | Putnam Hall, Stony Brook,
New York, 11794-0001 |
| Phone: | 631-632-2428 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275313165 |
| NPI Enumeration Date: | 29 Sep, 2023 |
| NPI Last Update On: | 18 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Suriano are as mentioned below.
| License Number | Specialization | State | Status | |
| 405310-01 | Psych/Mental Health | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Suriano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1447968417 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jack Suriano
Putnam Hall,
Stony Brook, New York |
| Zip: | 11794-0001 |
| Phone Number: | 631-632-2428 |
Patients can reach Jack Suriano at
Putnam Hall, Stony Brook, New York or can
call to book an appointment on 631-632-2428.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.