Medical Psychiatric Prcatice, PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

138997 Issued in NY

Legal business name

MEDICAL PSYCHIATRIC PRCATICE, PC

Practice address

510 N Broadway
White Plains, NY 10603-3217

Phone

(914) 723-3247

Fax

(914) 723-4211

NPI assigned

Feb 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moitri Nath Datta, M.D.NPI 1861530446

Title

President

Phone

(914) 723-3247

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moitri Nath Datta, M.D.

  • Child & Adolescent Psychiatry Physician
  • White Plains, NY
  • NPI 1861530446
  NPD (past) Authorized official
• Anthony J Bardinelli, MD

  • Psychiatry Physician
  • White Plains, NY
  • NPI 1245382662
  NPD (past)
• Gopalakrishna Kadiyali Upadhya, M.D.

  • Psychiatry Physician
  • White Plains, NY
  • NPI 1871631440
  NPD (past)
• Ellen Marcie Weissman, M.D.

  • Psychiatry Physician
  • Mount Kisco, NY
  • NPI 1487665832
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023156601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OVERHILL RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835307",
            "telephone_number": "914-723-3247",
            "fax_number": "914-723-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033217",
            "telephone_number": "914-723-3247",
            "fax_number": "914-723-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHIATRIC PRCATICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "MOITRI",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-723-3247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "138997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meal-on-Wheels of White Plains, Inc.
• Clare Elizabeth Meaney, MS
• Ann M. Means, R.N.
• Laura J Mechanic, MD
• Med Star Surgical & Breathing Equipment Inc
• Anamarie Medina, MS
• Esther Lydia Medina, RN
• Mirka M Medina Sr.
• Patricia E Medina
• Hailey Faith Meegan

• Child & Adolescent Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.