Active NPI
Chutrudee Joy Somberg, M.D.
- Psychiatry Physician
- White Plains, NY
National Provider Identifier
1124223052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 259619
- Practice address
- 21 Bloomingdale Rd
White Plains, NY 10605-1504 - Phone
- (914) 682-9100
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD13419 | RI | |
| Psychiatry Physician | 2084P0800X | 259619 | NY | Primary |
Addresses
Primary practice location
21 Bloomingdale Rd
White Plains, NY 10605-1504
Mailing address
21 Bloomingdale Rd
Box 44
White Plains, NY 10605-1504
Phone (914) 682-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259619 | NY | MD | Psychiatry Physician |
| MD13419 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Gracie Square Hospital Inc | Current | Accepting new patients | |
| Momentum for Mental Health - Discovery Center | Current | Accepting new patients | |
| Momentum for Health | Current | Accepting new patients |
Locations
2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750
1922 The Alameda
Ste 214
San Jose, CA 95126
1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- New York, NY
- NPI 1215911946
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1154426807
-
- Psychologist
- Palo Alto, CA
- NPI 1568674299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1124223052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BLOOMINGDALE RD",
"address_2": "BOX 44",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051504",
"telephone_number": "914-682-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BLOOMINGDALE RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051504",
"telephone_number": "914-682-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMBERG",
"first_name": "CHUTRUDEE",
"middle_name": "JOY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD13419",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "259619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.