Marie Decorse, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

090879 Issued in NY

Practice address

1133 Pleasantville Road #4
Briarcliff Manor, NY 10510-1634

Phone

(914) 762-5595

Fax

(914) 206-3500

NPI assigned

Oct 13, 2006

Last updated

Mar 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• County of Westchester

  dba Westchester County Safety Net Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Plains, NY
  • NPI 1922154145
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1225128937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 PLEASANTVILLE RD. #4",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101634",
            "telephone_number": "914-762-5595",
            "fax_number": "914-206-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 PLEASANTVILLE ROAD #4",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101634",
            "telephone_number": "914-762-5595",
            "fax_number": "914-206-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECORSE",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "090879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "05A511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sibi Daniel, MSPT
• Kevin D Davis, RN
• Michele Davis, PH.D.
• Nerissa De Jesus, NP
• Debra Ann Johnson, Inc (Debra Ann Johnson)
• Anthony M. Delgiacco, PT, DPT
• Delta Audiology PLLC
• Suzanne Demarchis
• Judith Mary Dember-Paige, OROFACIAL MYOLOGIST
• Sondra Hope Dolman-Rubin, MA, CCC-SLP

• Psychiatry Physician in Briarcliff Manor, NY
• Providers in Briarcliff Manor, 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 Mar 12, 2009; 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.