Active NPI
Thomas M Collins, M.D.
- Psychiatry Physician
- New Rochelle, NY
National Provider Identifier
1033279583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 146384
- Practice address
- 420 North Ave
New Rochelle Services of RPC Second Floor
New Rochelle, NY 10801-4160 - Phone
- (914) 633-8842
- Fax
- (914) 633-8947
- NPI assigned
- Dec 12, 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 | 146384 | NY | Primary |
Addresses
Primary practice location
420 North Ave
New Rochelle Services of RPC Second Floor
New Rochelle, NY 10801-4160
Mailing address
16 Davenport Ave
Port Chester, NY 10573-2601
Phone (914) 967-9383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13D423 | Other | NY | BC BS HOSPITAL |
| 13D422 | Other | NY | BC BS PRIVATE PRACTICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146384 | NY | MD | Licensed Practical Nurse |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- thomas.collins.1@20119.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033279583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DAVENPORT AVE",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732601",
"telephone_number": "914-967-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NORTH AVE",
"address_2": "NEW ROCHELLE SERVICES OF RPC SECOND FLOOR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108014160",
"telephone_number": "914-633-8842",
"fax_number": "914-633-8947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "146384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS HOSPITAL",
"identifier": "13D423",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PRIVATE PRACTICE",
"identifier": "13D422",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.