Island Wide Psychiatric Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ISLAND WIDE PSYCHIATRIC SERVICES PC

Practice address

327 BCH 19 St
Far Rockaway, NY 11691

Phone

(516) 869-7250

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Harsha Vardhan Reddy, MD

Title

Owner

Phone

(516) 374-4671

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174727291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ALDEN RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981810",
            "telephone_number": "516-374-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BCH 19 ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "516-869-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WIDE PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "HARSHA",
        "authorized_official_middle_name": "VARDHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-374-4671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inyang Bassey Inikori
• Rudy Innocent
• Integrated Therapeutic Services
• Island Child Development Center
• Island Emergency Medical Services, P.C.
• Mariam Ismail, PA-C
• Israel M.Brafman, M.D., P.C.
• Michael Israilov
• Irene Iyokho II
• Alexa Brianna Nicole Jack, MD

• Psychiatry Physician in Far Rockaway, NY
• Providers in Far Rockaway, 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 Aug 22, 2020; 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.