Individual provider Active NPI

Mary Teresa Panzetta, M.D.

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1083784961
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
171825 Issued in NY
Practice address
2 Tower PL
Albany, NY 12203-3735
Phone
(518) 438-5501
NPI assigned
Nov 8, 2006
Last updated
Oct 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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 171825 NY Primary

Addresses

Primary practice location

2 Tower PL
Albany, NY 12203-3735

Mailing address

2 Tower PL
Albany, NY 12203-3735
Phone (518) 438-5501

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywork for Wellness Manual Physical Therapy&Therapeutic Massage PLLC PastSince Apr 21, 2011 Accepting new patients
Karner Psychological Associates PC PastSince Mar 1, 1999 Accepting new patients
Enlighten Chiropractic, PLLC PastSince Dec 21, 2019 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1083784961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWER PL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033735",
            "telephone_number": "518-438-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWER PL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033735",
            "telephone_number": "518-438-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZETTA",
        "first_name": "MARY",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "171825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.