Organization Active NPI

New York Medical Behavioral Health, PC

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1255533600
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
196375 Issued in NY
Legal business name
NEW YORK MEDICAL BEHAVIORAL HEALTH, PC
Practice address
890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Phone
(585) 442-6960
Fax
(585) 442-3589
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mahipal S. Chaudhri, M.D.NPI 1982799490
Title
President
Phone
(585) 442-6960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 196375 NY Primary

Addresses

Primary practice location

890 Westfall Rd
Suite B
Rochester, NY 14618-2610

Mailing address

890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Phone (585) 442-6960

Other identifiers 1

IdentifierTypeStateIssuer
AA0080OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000907 NY Part B Supplier - Clinic/Group Practice 6406941079 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1255533600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610",
            "telephone_number": "585-442-6960",
            "fax_number": "585-442-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610",
            "telephone_number": "585-442-6960",
            "fax_number": "585-442-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MEDICAL BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRI",
        "authorized_official_first_name": "MAHIPAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-442-6960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "196375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA0080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.