Kelly Ann Antimisiaris
Nurse Practitioner - Psych/Mental Health
5550 Merrick Rd, Massapequa
New York, 11758-6238
631-773-1096
Kelly Ann Antimisiaris is a Massapequa, New York based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Kelly Ann Antimisiaris is 405343 for Psych/Mental Health in New York. Her current practice location is 5550 Merrick Rd, Massapequa. Patients can reach her at 631-773-1096 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1265213797.
Kelly Ann Antimisiaris 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:
Kelly Ann Antimisiaris speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Ann Antimisiaris |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Practice Address: | 5550 Merrick Rd, Massapequa,
New York, 11758-6238 |
| Phone: | 631-773-1096 |
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: | 1265213797 |
| NPI Enumeration Date: | 10 Oct, 2023 |
| NPI Last Update On: | 10 Oct, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Ann Antimisiaris are as mentioned below.
| License Number | Specialization | State | Status | |
| 405343 | Psych/Mental Health | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Ann Antimisiaris
5550 Merrick Rd,
Massapequa, New York |
| Zip: | 11758-6238 |
Patients can reach Kelly Ann Antimisiaris at
5550 Merrick Rd, Massapequa, New York or can
call to book an appointment on 631-773-1096.
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.