NPIMap

Organization Active NPI

Psychiatric Services of Orange and Sullivan

  • Specialist
  • Chester, NY
National Provider Identifier
1083876080
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
191640 Issued in NY
Legal business name
PSYCHIATRIC SERVICES OF ORANGE AND SULLIVAN
Practice address
20 West Ave
Suite 103
Chester, NY 10918-1032
Phone
(845) 469-3621
Fax
(845) 469-3618
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Robert Ludwigsen
Title
Administrator
Phone
(845) 858-2317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 191640 NY Primary

Addresses

Primary practice location

20 West Ave
Suite 103
Chester, NY 10918-1032

Mailing address

20 West Ave
Suite 103
Chester, NY 10918-1032
Phone (845) 469-3621

National Provider Directory

National Provider Directory
Tax ID family
Psor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 West Ave
Ste 103
Chester, NY 10918
Phone (845) 469-3621

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1083876080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEST AVE",
            "address_2": "SUITE 103",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181032",
            "telephone_number": "845-469-3621",
            "fax_number": "845-469-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST AVE",
            "address_2": "SUITE 103",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181032",
            "telephone_number": "845-469-3621",
            "fax_number": "845-469-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES OF ORANGE AND SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LUDWIGSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-858-2317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "191640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.