Individual provider Active NPI

Lidia Z Klepacz, MD

  • Psychiatry Physician
  • Valhalla, NY
National Provider Identifier
1255522066
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
244701 Issued in NY
Practice address
95 Grasslands Rd
BHC New York Medical College
Valhalla, NY 10595-1652
Phone
(914) 493-7076
Fax
(914) 493-7739
NPI assigned
Aug 6, 2007
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 244701 NY Primary
Geriatric Psychiatry Physician 2084P0805X 244701 NY

Addresses

Primary practice location

95 Grasslands Rd
BHC New York Medical College
Valhalla, NY 10595-1652

Mailing address

95 Grasslands Rd
BHC New York Medical College
Valhalla, NY 10595-1652
Phone (914) 493-7076

Other identifiers 1

IdentifierTypeStateIssuer
02976947MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000444 NY Practitioner - HospitalistPractitioner - Psychiatry 1456425404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

160 E Main St
Port Jervis, NY 12771-2114
Phone (845) 585-7000

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 22, 2009 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 22, 2009 Accepting new patients
Faculty Psychiatric Associates, PC Psychiatry PastSince Jul 1, 2003 Accepting new patients
Westchester County Health Care Corp Past Accepting new patients
Medical Healthcare Services P.C. Psychiatry PastSince Jan 1, 2012 Accepting new patients
Westchester Faculty Psychological Associates PC Past Accepting new patients
Psychiatry and Psychotherapy Practice P.C. Psychiatry PastSince Mar 1, 2007 Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lklepacz48901@northwell.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1255522066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "address_2": "BHC NEW YORK MEDICAL COLLEGE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951652",
            "telephone_number": "914-493-7076",
            "fax_number": "914-493-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "address_2": "BHC NEW YORK MEDICAL COLLEGE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951652",
            "telephone_number": "914-493-7076",
            "fax_number": "914-493-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPACZ",
        "first_name": "LIDIA",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244701",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "244701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02976947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.