Intensive Psychiatric Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

151093 Issued in NY

Legal business name

INTENSIVE PSYCHIATRIC SERVICES PC

Practice address

2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1097

Phone

(516) 897-0277

Fax

(516) 431-8209

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alan Lawrence Rubin, MDNPI 1669697793

Title

President

Phone

(516) 897-0277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Alan Lawrence Rubin, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1669697793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1043583073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115090255",
            "telephone_number": "516-897-0277",
            "fax_number": "516-431-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVE",
            "address_2": "SUITE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421097",
            "telephone_number": "516-897-0277",
            "fax_number": "516-431-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-897-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "151093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.