Organization Active NPI

TMS Medical of the Hudson Valley PC

  • Psychiatry Physician
  • Poughkeepsie, NY
National Provider Identifier
1255911582
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TMS MEDICAL OF THE HUDSON VALLEY PC
Practice address
370 Violet Ave Ste 204
Poughkeepsie, NY 12601-1034
Phone
(845) 471-1807
Fax
(845) 471-1815
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Randy Pardell, MDNPI 1578516969
Title
Medical Director
Phone
(845) 842-9009

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

370 Violet Ave Ste 204
Poughkeepsie, NY 12601-1034

Mailing address

370 Violet Ave Ste 204
Poughkeepsie, NY 12601-1034
Phone (845) 471-1807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211124001445 NY Part B Supplier - Clinic/Group Practice 1759771215 Receives reassigned benefits from 17 practitioners
Practice locations: Garden City, NY; Valhalla, NY; Poughkeepsie, NY; New Rochelle, NY; Nanuet, NY; Middletown, NY; Latham, NY; Hauppauge, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2318373TMS Medical of the Hudson Valley PC370 Violet Ave, Poughkeepsie, NY 12601Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

300 Garden City Plz
Ste 314
Garden City, NY 11530
Phone (516) 866-4540

1393 Veterans Memorial Hwy
Ste 208N
Hauppauge, NY 11788
Phone (845) 471-1807

3 Lear Jet Ln
Ste 103S
Latham, NY 12110

75 Crystal Run Rd
Ste 108
Middletown, NY 10941

25 Smith St
Ste 314
Nanuet, NY 10954
Phone (845) 471-1807

370 Violet Ave
Ste 204
Poughkeepsie, NY 12601
Phone (845) 394-2669

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1255911582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE STE 204",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE STE 204",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS MEDICAL OF THE HUDSON VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "PARDELL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-842-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.