Suffolk Behavioral Medicine P.C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

245951 Issued in NY

Legal business name

SUFFOLK BEHAVIORAL MEDICINE P.C

Practice address

535 Broadhollow Rd
Melville, NY 11747-3713

Phone

(631) 513-6262

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mulchand Chugh, M.D.NPI 1164613139

Title

Director

Phone

(631) 513-6262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mulchand Chugh, MD

  • Psychiatry Physician
  • Baldwin, NY
  • NPI 1164613139
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1124312566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 BROAD HOLLOW ROAD",
            "address_2": "SUITE B-12",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-513-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473713",
            "telephone_number": "631-513-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK BEHAVIORAL MEDICINE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "CHUGH",
        "authorized_official_first_name": "MULCHAND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-513-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "245951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Osvalda Streb
• Abigail Stricoff
• Destiny Stroman, LMSW
• Harold S Stulbaum, PSYCHOLOGIST
• Starr S Suarez, MS ED.
• Suffolk Physical Therapy & Chiropractic, PLLC
• Misha Sundri
• Declan Sung
• Support Claim Services, Inc.
• Leaha Surafel

• Psychiatry Physician in Melville, NY
• Providers in Melville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.