Individual provider Active NPI

Charles Mani Ignatius

  • Psychoanalyst
  • Yonkers, NY
National Provider Identifier
1265977938
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
001187 Issued in NY
Practice address
7 Wainwright Ave
Apt-1a
Yonkers, NY 10710-5843
Phone
(347) 452-4122
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 001187 NY Primary

Addresses

Primary practice location

7 Wainwright Ave
Apt-1a
Yonkers, NY 10710-5843

Mailing address

7 Wainwright Ave
Apt-1a
Yonkers, NY 10710-5843
Phone (347) 452-4122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001187NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1265977938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WAINWRIGHT AVE",
            "address_2": "APT-1A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105843",
            "telephone_number": "347-452-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WAINWRIGHT AVE",
            "address_2": "APT-1A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105843",
            "telephone_number": "347-452-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATIUS",
        "first_name": "CHARLES",
        "middle_name": "MANI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "001187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.