Individual provider Active NPI

Tara Cerreta, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1013302454
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
290705 Issued in NY
Practice address
515 W 59TH St Apt 7B
New York, NY 10019-1033
Phone
(203) 512-1350
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 290705 NY Primary

Addresses

Primary practice location

515 W 59TH St Apt 7B
New York, NY 10019-1033

Mailing address

1090 Amsterdam Ave
Suite 16F
New York, NY 10025-1737
Phone (212) 523-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906003500 NY Practitioner - Psychiatry 8325398605 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Yonkers CurrentSince Aug 18, 2020 Accepting new patients
Blanton-Peale Institute CurrentSince Jul 21, 2018 Accepting new patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St.Vincent' Hospital Westchester Psych CurrentSince Aug 18, 2020 Accepting new patients
Medical Healthcare Services P.C. Psychiatry CurrentSince Apr 1, 2021 Accepting new patients

Locations

275 North St
Harrison, NY 10528
Phone (914) 925-5211

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

7 W 30th St
Fl 9
New York, NY 10001
Phone (212) 967-4919

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1013302454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "address_2": "SUITE 16F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "212-523-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 59TH ST APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191033",
            "telephone_number": "203-512-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRETA",
        "first_name": "TARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "290705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.