Individual provider Active NPI

Mary Weathers Case, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1265622955
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
247071 Issued in NY
Practice address
462 First Ave, Room A646
C/O Leslie Shimono, Psych Admin, Bellevue Hospital
New York, NY 10016
Phone
(646) 286-5011
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 247071 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

462 First Ave, Room A646
C/O Leslie Shimono, Psych Admin, Bellevue Hospital
New York, NY 10016

Mailing address

462 First Ave, Room A646
C/O Leslie Shimono, Psych Admin, Bellevue Hospital
New York, NY 10016
Phone (646) 286-5011

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
I20160505001093 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 0547442204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247071NYMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: mcase673615@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1265622955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 FIRST AVE, ROOM A646",
            "address_2": "C/O LESLIE SHIMONO, PSYCH ADMIN, BELLEVUE HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-286-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 FIRST AVE, ROOM A646",
            "address_2": "C/O LESLIE SHIMONO, PSYCH ADMIN, BELLEVUE HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-286-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "MARY",
        "middle_name": "WEATHERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247071",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.