Individual provider Active NPI

Manish Verma, M.D.

  • Child & Adolescent Psychiatry Physician
  • Albany, NY
National Provider Identifier
1073768685
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
271917 Issued in NY
Practice address
75 New Scotland Avenue
Capital District Psychiatric Center
Albany, NY 12209
Phone
(518) 549-6000
Fax
(718) 334-5034
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 003250 NY
Child & Adolescent Psychiatry Physician 2084P0804X 271917 NY Primary

Addresses

Primary practice location

75 New Scotland Avenue
Capital District Psychiatric Center
Albany, NY 12209

Mailing address

75 New Scotland Avenue
Capital District Psychiatric Center
Albany, NY 12209
Phone (518) 549-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216000983 NY Practitioner - Psychiatry 9537450168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Sunrise Hwy
Amityville, NY 11701-2508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Long Island Home CurrentSince Oct 1, 2020 Accepting new patients
The Long Island Home CurrentSince Oct 1, 2020 Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1073768685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NEW SCOTLAND AVENUE",
            "address_2": "CAPITAL DISTRICT PSYCHIATRIC CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "518-549-6000",
            "fax_number": "718-334-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NEW SCOTLAND AVENUE",
            "address_2": "CAPITAL DISTRICT PSYCHIATRIC CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "518-549-6000",
            "fax_number": "718-334-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "003250",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "271917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.