Individual provider Active NPI

Jesse Bastiaens, M.D.

  • Psychiatry Physician
  • Valhalla, NY
National Provider Identifier
1194143933
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
321236 Issued in NY
Practice address
115 E Stevens Ave Ste 108
Valhalla, NY 10595-1202
Phone
(845) 471-1807
Fax
(845) 471-1815
NPI assigned
Mar 30, 2014
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 137683 CA
Psychiatry Physician 2084P0800X 321236 NY Primary

Addresses

Primary practice location

115 E Stevens Ave Ste 108
Valhalla, NY 10595-1202

Mailing address

4 Glendale Ave
Armonk, NY 10504-1915
Phone (412) 334-1742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003214 NY Practitioner - Psychiatry 5799078911 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JS Weill Medical College, Cornell University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Medical of the Hudson Valley PCGroup PAC ID 1759771215, 11 clinicians
Riverview Psychiatric Medicine, PCGroup PAC ID 6901395342, 21 clinicians

Practice addresses (Care Compare)

115 E Stevens Ave
Suite 108
Valhalla, NY 10595-1202
Phone (914) 370-2710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137683CAMDPsychiatry Physician
321236NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hosp CurrentSince Jan 3, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
Riverview Psychiatric Medicine PC CurrentSince Nov 1, 2025 Accepting new patients
TMS Medical of the Hudson Valley PC Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Jan 3, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

300 Garden City Plz
Ste 314
Garden City, NY 11530
Phone (516) 866-4540

1393 Veterans Memorial Hwy
Ste 208N
Hauppauge, NY 11788
Phone (845) 471-1807

117 Marys Ave
Ste 105
Kingston, NY 12401
Phone (845) 334-3180

3 Lear Jet Ln
Ste 103S
Latham, NY 12110

3 Lear Jet Ln
Ste 203S
Latham, NY 12110
Phone (845) 471-1807

75 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-4391

75 Crystal Run Rd
Ste 103
Middletown, NY 10941
Phone (845) 471-1807

75 Crystal Run Rd
Ste 108
Middletown, NY 10941

25 Smith St
Ste 314
Nanuet, NY 10954
Phone (845) 471-1807

1 Radisson Plz
Ste 1007
New Rochelle, NY 10801
Phone (845) 471-1807

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

370 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 471-1807

370 Violet Ave
Ste 204
Poughkeepsie, NY 12601
Phone (845) 394-2669

115 E Stevens Ave
Ste 108
Valhalla, NY 10595
Phone (845) 471-1807

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1194143933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLENDALE AVE",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041915",
            "telephone_number": "412-334-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E STEVENS AVE STE 108",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951202",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAENS",
        "first_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "137683",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "321236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.