NPIMap

Organization Active NPI

Mitchell Cabisudo Physician PC

  • Child & Adolescent Psychiatry Physician
  • New Windsor, NY
National Provider Identifier
1235987090
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
MITCHELL CABISUDO PHYSICIAN PC
Practice address
3125 US Route 9W Ste 204
New Windsor, NY 12553-6764
Phone
(845) 888-6769
Fax
(518) 708-6889
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Mitchell Cabisudo, MD
Title
Ceo
Phone
(845) 888-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

3125 US Route 9W Ste 204
New Windsor, NY 12553-6764

Mailing address

3125 US Route 9W Ste 204
New Windsor, NY 12553-6764
Phone (845) 888-6769

Other practice location 1

315 Madison Ave Rm 507
New York, NY 10017-5436
Phone (212) 432-5867

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1235987090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 US ROUTE 9W STE 204",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536764",
            "telephone_number": "845-888-6769",
            "fax_number": "518-708-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 US ROUTE 9W STE 204",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536764",
            "telephone_number": "845-888-6769",
            "fax_number": "518-708-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Madison Ave Rm 507",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175436",
            "country_code": "US",
            "telephone_number": "212-432-5867",
            "fax_number": "518-708-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MITCHELL CABISUDO PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "CABISUDO",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-888-6769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.