Anthony Charuvastra, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

239735 Issued in NY

Practice address

200 Park Ave S
Suite 1118 B
New York, NY 10003-1503

Phone

(347) 586-0397

Fax

(646) 304-8412

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• CL Medicine PLLC

  • Child & Adolescent Psychiatry Physician
  • New York, NY
  • NPI 1679273676
  NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1235353723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE S",
            "address_2": "SUITE 1118 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031503",
            "telephone_number": "646-389-9871",
            "fax_number": "662-735-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE S",
            "address_2": "SUITE 1118 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031503",
            "telephone_number": "347-586-0397",
            "fax_number": "646-304-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARUVASTRA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "239735",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "239735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Charoenkul
• Rita Anne Marie Charon, M.D.
• Nalini Charran, RN
• Lauren Leigh Charters, CRNP
• Joshua Chartock, MD
• Michael Chary, M.D. PH.D.
• David M Charytan, MD
• George Chasabenis
• Jessie Chasan-Taber, LMSW
• Rachel Nahtanha Chasan, MD

• Child & Adolescent Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.