Heritage Psychiatry Services, P.C.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

196342 Issued in NY

Legal business name

HERITAGE PSYCHIATRY SERVICES, P.C.

Practice address

8 Independence Dr
Manhasset Hills, NY 11040-1023

Phone

(917) 359-1096

Fax

(516) 869-0560

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David A Trachtenberg, M.D.

Title

President

Phone

(917) 359-1096

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Sylvia Lozada, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynbrook, NY
  • NPI 1336451558
  NPD (past)
• Margaret Fasano, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1417109919
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1255667465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 INDEPENDENCE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401023",
            "telephone_number": "917-359-1096",
            "fax_number": "516-869-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 INDEPENDENCE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401023",
            "telephone_number": "917-359-1096",
            "fax_number": "516-869-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PSYCHIATRY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "TRACHTENBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-359-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "196342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03162645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zina P. Fayache, MA, MS, SLP
• Irene Frenk, MS, CCC-SLP
• Marshall B Golan, DDS
• Ashley H Hakimian, M.A. CF-SLP, TSSLD
• Konstantinos Harogiannis
• Hope'S Place Speech Language Pathology Services, P.C.
• John Philip Incao, DDS
• Irine Kim, M.D. P.C.
• Gina T Jacob, DOCTORATE
• Steven Jacob

• Geriatric Psychiatry Physician in Manhasset Hills, NY
• Providers in Manhasset Hills, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.