Active NPI
Jesse Bastiaens, M.D.
- Psychiatry Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 321236
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 137683 | CA | MD | Psychiatry Physician |
| 321236 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hosp | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Riverview Psychiatric Medicine PC | Current | Accepting new patients | |
| TMS Medical of the Hudson Valley PC | Psychiatry | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- 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.
-
- Adult Mental Health Clinic/Center
- Poughkeepsie, NY
- NPI 1174789812
-
- Psychiatry Physician
- Poughkeepsie, NY
- NPI 1255911582
-
dba Ambulatory Care Network
- Nutritionist
- New York, NY
- NPI 1891857025
-
- Neurology Physician
- White Plains, NY
- NPI 1063683068
-
dba New-York-Presbyterian Pharmacy
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba New York-Presbyterian Hospital
- Psychiatric Hospital
- New York, NY
- NPI 1770502635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.