NPIMap

Organization Active NPI

Faculty Psychiatric Associates, PC

  • Child & Adolescent Psychiatry Physician
  • Valhalla, NY
National Provider Identifier
1003864729
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
FACULTY PSYCHIATRIC ASSOCIATES, PC
Practice address
95 Grasslands Road
Nymc Behavioral Health Center Room N326
Valhalla, NY 10595
Phone
(914) 493-8198
Fax
(914) 493-1015
NPI assigned
May 5, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Semmelrath
Title
Business Administrator
Phone
(914) 493-8198

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Child & Adolescent Psychologist 103TC2200X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

95 Grasslands Road
Nymc Behavioral Health Center Room N326
Valhalla, NY 10595

Mailing address

95 Grasslands Road
Nymc Behavioral Health Center Room N326
Valhalla, NY 10595
Phone (914) 493-8198

Other identifiers 1

IdentifierTypeStateIssuer
00553526MedicaidNY

National Provider Directory

National Provider Directory

Locations

20 Hospital Rd
Valhalla, NY 10595
Phone (914) 493-7124

95 Grasslands Rd
Rm N326
Valhalla, NY 10595
Phone (914) 493-7124

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 73

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1003864729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS ROAD",
            "address_2": "NYMC BEHAVIORAL HEALTH CENTER ROOM N326",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-8198",
            "fax_number": "914-493-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS ROAD",
            "address_2": "NYMC BEHAVIORAL HEALTH CENTER ROOM N326",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-8198",
            "fax_number": "914-493-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY PSYCHIATRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SEMMELRATH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "914-493-8198"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00553526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.