Jonathan Miller Wachtel, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

303103 Issued in NY

Practice address

34 S Broadway Ste 702
White Plains, NY 10601-4427

Phone

(914) 428-8563

Fax

(914) 686-0933

NPI assigned

Apr 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jwachtel1346089@nychhc.direct-ci.com

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1144752668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY STE 702",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014427",
            "telephone_number": "914-428-8563",
            "fax_number": "914-686-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY STE 702",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014427",
            "telephone_number": "914-428-8563",
            "fax_number": "914-686-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 87th St Apt 22E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101283235",
            "country_code": "US",
            "telephone_number": "212-722-0860",
            "fax_number": "914-686-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "JONATHAN",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "303103",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "303103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detlef Vonhahn, CASAC
• Christine R Vyskocil, M.D.
• W Dental Practice
• W Orthodontics
• Alan Wachtel, M.D.
• Elizabeth Anne Wade, M. D.
• Elizabeth E Wagner, PHD
• Nicole Wagner, LCSW
• Andrew Taylor Wainwright, CASAC #20543 NYS OAS
• Adam Foster Waldman

• Child & Adolescent Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.