Amanda Mackillop

NP | Nurse Practitioner - Psych/Mental Health

54655 Main Rd, Southold
  New York, 11971-4769
631-301-2271
May or may not accept Medicare Nurse Practitioner in Southold, New York.
Amanda Mackillop is a Southold, New York based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Amanda Mackillop is 403484 for Psych/Mental Health NP in New York. Her current practice location is 54655 Main Rd, Southold. Patients can reach her at 631-301-2271 or can fax her at 631-212-0482. Amanda Mackillop is NP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1770128753.
Amanda Mackillop 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:
Amanda Mackillop speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Amanda Mackillop
Specialization: Nurse Practitioner - Psych/Mental Health (PMHNP)
Gender:Female
Credentials: NP
Practice Address:54655 Main Rd, Southold,
New York, 11971-4769
Phone:631-301-2271
Fax:631-212-0482
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: 1770128753
NPI Enumeration Date: 13 Nov, 2019
NPI Last Update On: 17 Dec, 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 Amanda Mackillop are as mentioned below.
License NumberSpecializationStateStatus
403484Psych/Mental Health NP New YorkPrimary
780342Registered Nurse New YorkSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Amanda Mackillop
54655 Main Rd,
Southold, New York
Zip: 11971-4769
Phone Number: 631-301-2271
Fax Number: 631-212-0482
Patients can reach Amanda Mackillop at 54655 Main Rd, Southold, New York or can call to book an appointment on 631-301-2271.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.