Organization Active NPI

Integrative Psychiatry of Ny, PC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1235434937
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
215303 Issued in NY
Legal business name
INTEGRATIVE PSYCHIATRY OF NY, PC
Practice address
99 Madison Ave FL 5
Suite 531
New York, NY 10016-7419
Phone
(646) 430-5684
Fax
(646) 430-5631
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Caroline Stamu-O'Brien, M.D.
Title
MD, President
Phone
(646) 430-5684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 215303 NY Primary

Addresses

Primary practice location

99 Madison Ave FL 5
Suite 531
New York, NY 10016-7419

Mailing address

99 Madison Ave FL 5
Suite 531
New York, NY 10016-7419
Phone (646) 430-5684

National Provider Directory

National Provider Directory

Locations

99 Madison Ave
Fl 5
New York, NY 10016
Phone (646) 430-5717

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1235434937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MADISON AVE FL 5",
            "address_2": "SUITE 531",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167419",
            "telephone_number": "646-430-5684",
            "fax_number": "646-430-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MADISON AVE FL 5",
            "address_2": "SUITE 531",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167419",
            "telephone_number": "646-430-5684",
            "fax_number": "646-430-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHIATRY OF NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "STAMU-O'BRIEN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MD, PRESIDENT",
        "authorized_official_telephone_number": "646-430-5684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "215303",
            "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 Feb 28, 2012; 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.