NPIMap

Organization Active NPI

Integrative Psychiatry

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1205395779
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTEGRATIVE PSYCHIATRY
Practice address
425 W 23Rd St RM 1B
New York, NY 10011-1436
Phone
(646) 592-0869
NPI assigned
Mar 14, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Rona Bernadette, MDNPI 1942262266
Title
Owner/Provider
Phone
(646) 592-0869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

425 W 23Rd St RM 1B
New York, NY 10011-1436

Mailing address

425 W 23Rd St RM 1B
New York, NY 10011-1436
Phone (646) 592-0869

National Provider Directory

National Provider Directory

Locations

425 W 23rd St
Rm 1B
New York, NY 10011
Phone (212) 229-0595

6 E 39th St
Ste 503
New York, NY 10016
Phone (646) 535-1225

6 E 39th St
Ste 902
New York, NY 10016
Phone (646) 592-0869

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": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1205395779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 23RD ST RM 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111436",
            "telephone_number": "646-592-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 23RD ST RM 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111436",
            "telephone_number": "646-592-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "BERNADETTE",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "646-592-0869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.