Individual provider Active NPI

Douglas Alan Landy, MD

  • Psychiatry Physician
  • New City, NY
National Provider Identifier
1104893494
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
202428 Issued in NY
Practice address
77 S Main St
New City, NY 10956-3511
Phone
(845) 634-5729
Fax
(845) 634-7839
NPI assigned
Mar 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 202428 NY Primary

Addresses

Primary practice location

77 S Main St
New City, NY 10956-3511

Mailing address

77 S Main St
New City, NY 10956-3511
Phone (845) 634-5729

Other identifiers 1

IdentifierTypeStateIssuer
202428OtherNYSTATE LICENSE NUMBER

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
I20080530000388 NY Practitioner - PsychiatryPractitioner - Neuropsychiatry 2062582273 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Hahnemann University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VCS IncGroup PAC ID 4486839511, 6 clinicians

Practice addresses (Care Compare)

77 S Main St
New City, NY 10956-3511
Phone 8456345729321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 1, 2010 Accepting new patients
Behavioral Health Network, Inc. CurrentSince Jan 1, 2008 Accepting new patients
VCS Inc. CurrentSince Jul 10, 2025 Accepting new patients
Rochester General Hospital Psychiatry CurrentSince Jan 1, 2010 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 6, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 6, 2024 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Aug 1, 2012 Accepting new patients
Psychiatric Wellness Group Psychiatry PastSince May 29, 2022 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

77 S Main St
New City, NY 10956
Phone (845) 634-5729

50 Water St
Fl 3
New York, NY 10004

224 Alexander St
Rochester, NY 14607
Phone (585) 922-7770

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1425 Portland Ave
#242
Rochester, NY 14621
Phone (585) 922-3662

Organizations & group practices 9

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": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1104893494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563511",
            "telephone_number": "845-634-5729",
            "fax_number": "845-634-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563511",
            "telephone_number": "845-634-5729",
            "fax_number": "845-634-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "202428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "202428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.