Active NPI
Mews Rousseau, MD
- Psychiatry Physician
- Rockville Centre, NY
National Provider Identifier
1003825076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 145537
- Practice address
- 30 Hempstead Ave
Suite 152
Rockville Centre, NY 11570 - Phone
- (516) 536-5836
- Fax
- (631) 692-0065
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 145537 | NY | Primary |
Addresses
Primary practice location
30 Hempstead Ave
Suite 152
Rockville Centre, NY 11570
Mailing address
PO Box 1203
Bellmore, NY 11710
Phone (516) 783-6692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00624566 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051108000142 | NY | Practitioner - Psychiatry | 2567480882 | Practice locations: Rockville Centre, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145537 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreoretinal & Uveitis Services, PC | Past | Accepting new patients | |
| FL Mental Care Corporation | Psychiatry | Past | Accepting new patients |
| Family and Children'S Association - Linkage | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9102/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Garden City, NY
- NPI 1164187449
-
- Psychiatry Physician
- Huntington, NY
- NPI 1568899656
-
- Ophthalmology Physician
- Howard Beach, NY
- NPI 1548599418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003825076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1203",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "516-783-6692",
"fax_number": "516-826-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HEMPSTEAD AVE",
"address_2": "SUITE 152",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "11570",
"telephone_number": "516-536-5836",
"fax_number": "631-692-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEAU",
"first_name": "MEWS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "145537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00624566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.