Organization Active NPI

Northern Westchester Hospital Association

  • Psychiatry Physician
  • Mount Kisco, NY
National Provider Identifier
1194982223
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6415020 Issued in NY
Legal business name
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Practice address
400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Phone
(914) 666-1036
Fax
(914) 666-1976
NPI assigned
May 16, 2008
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Michele Cusack
Title
Evp & Cfo
Phone
(914) 671-6966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6415020 NY Primary

Addresses

Primary practice location

400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417

Mailing address

400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 671-6966

Other names 1

  • Behavioral Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000420 NY Part B Supplier - Clinic/Group Practice 9335040112 Receives reassigned benefits from 84 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mt Kisco, NY; Yorktown Heights, NY; Mount Kisco, NY

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northern Westchester Hospital Association6 organizations share this tax ID, including this one
Part of
Northern Westchester Hospital Association

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1194982223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-671-6966",
            "fax_number": "914-206-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1036",
            "fax_number": "914-666-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WESTCHESTER HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN WESTCHESTER HOSPITAL ASSOCIATION",
        "enumeration_date": "2008-05-16",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "914-671-6966"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "6415020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.