Active NPI
Beth Israel Medical Center
- Psychiatry Physician
- New York, NY
National Provider Identifier
1003052200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BETH ISRAEL MEDICAL CENTER
- Practice address
- 10 Nathan D. Perlman Place
16TH Street at 1St Avenue
New York, NY 10003 - Phone
- (212) 420-4714
- NPI assigned
- Dec 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Hackett
- Title
- Avp
- Phone
- (212) 256-3424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10 Nathan D. Perlman Place
16TH Street at 1St Avenue
New York, NY 10003
Mailing address
160 Water St
20TH Floor
New York, NY 10038-4922
Phone (212) 420-4714
Other names 1
- BIMC FPP DEPT OF PSYCH
National Provider Directory
National Provider Directory- Tax ID family
- Family Center for Bipolar Disorder at Beth Israel Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- New York, NY
- NPI 1700124633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229558400000",
"number": "1003052200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "20TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-420-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NATHAN D. PERLMAN PLACE",
"address_2": "16TH STREET AT 1ST AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-4714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH ISRAEL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A",
"authorized_official_last_name": "HACKETT",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "AVP",
"authorized_official_telephone_number": "212-256-3424"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BIMC FPP DEPT OF PSYCH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.