Individual provider Active NPI

Thomas M Collins, M.D.

  • Psychiatry Physician
  • New Rochelle, NY
National Provider Identifier
1033279583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
146384 Issued in NY
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
13D423OtherNYBC BS HOSPITAL
13D422OtherNYBC 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

LicenseStateTypeSpecialty
146384NYMDLicensed Practical Nurse

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.