Charles Bruce Walsh, M.D. LLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

145593-1 Issued in NY

Legal business name

CHARLES BRUCE WALSH, M.D. LLP

Practice address

140 Lockwood Ave
Suite 103
New Rochelle, NY 10801-4915

Phone

(914) 636-3373

Fax

(914) 636-8726

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ellen Carroll-McLane

Title

Office Manager

Phone

(914) 636-3373

Specialties & licenses 1

Addresses

Other identifiers 13

Locations

Practitioners 3

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

• Diane P D'Allegro, MD

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1154381911
  NPD (past)
• Melinda Lehman, LCSW

  • Clinical Social Worker
  • New Rochelle, NY
  • NPI 1962955104
  NPD (past)
• Charles Bruce Walsh, MD

  • Surgical Critical Care Physician
  • Danbury, CT
  • NPI 1659379832
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1033306121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 103",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-3373",
            "fax_number": "914-636-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 103",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-3373",
            "fax_number": "914-636-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES BRUCE WALSH, M.D. LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARROLL-MCLANE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-636-3373",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "145593-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOSPITAL",
            "identifier": "0722H1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2473422002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "280733P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "1447296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "11303",
            "identifier": "MAGNACARE",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0D2758",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "20041170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "413191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4653869",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OFFICE",
            "identifier": "0722H2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "217377P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Chambers
• Dennis Chan, DDS
• Keron Chang, RN
• Irwin Chantre
• Marisol Chappell, SPECIAL EDUCATOR
• Richard Charney, M.D
• Kayla Michelle Charpentier
• Deborah Jove Chasssen, M.ED.,C.C.C.
• Chatting Away - Speech & Language Services LLC
• Mohan K Cheema, MD

• Specialist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.