Cny Psychiatric Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

238870 Issued in NY

Legal business name

CNY PSYCHIATRIC SERVICES PC

Practice address

175 W Main St Ste 3
Little Falls, NY 13365-1300

Phone

(315) 508-5083

Fax

(315) 823-1889

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Surendra Johri, MD

Title

Psychiatrist

Phone

(315) 508-5083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1144552084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST STE 3",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651300",
            "telephone_number": "315-508-5083",
            "fax_number": "315-823-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST STE 3",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651300",
            "telephone_number": "315-508-5083",
            "fax_number": "315-823-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHRI",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "315-508-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "238870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Bush, OTR/L, M.S.
• Alyssa Lynne Casullo, PHARM. D.
• Mengxi Chen
• Nichole Christman, LPN
• City of Little Falls
• Kendra Renee Coupe, OTR/L
• Mandy Crim
• Cuda Counseling LCSW PLLC
• Lynn Darling, R.PH.
• Cheryl Connor Doremus, RN/BSN

• Psychiatry Physician in Little Falls, NY
• Providers in Little Falls, 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 Feb 3, 2010; 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.