Brigitte Panten-Licker, M.D.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

156899 Issued in NY

Practice address

1040 Main St
Peekskill, NY 10566-2906

Phone

(914) 737-8217

Fax

(914) 734-2494

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rockland Psychiatric Center

  • Psychiatric Hospital
  • Peekskill, NY
  • NPI 1063834273
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053530022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BABBITT RD APT 2B",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072050",
            "telephone_number": "914-864-1467",
            "fax_number": "914-734-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662906",
            "telephone_number": "914-737-8217",
            "fax_number": "914-734-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTEN-LICKER",
        "first_name": "BRIGITTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "156899",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "156899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Osborne, CASAC
• Sarah Otero, MS, MHC-LP
• Julie Ann Overskei, LMT
• Maureen A Palmer, R.N
• Nicole Marie Palmisano, LCSW
• James R Pappas, RN-BC
• Colin Richard Park, ATC
• Jillian Marie Parke, MS, OTR/L
• Frank Richard Pastore, M.D.
• Paul R Edelman OD PC

• Prescribing (Medical) Psychologist in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Prescribing (Medical) Psychologist in New York

• 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.