Active NPI
Soumitra Chatterjee, M.D.
- Psychiatry Physician
- Holtsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 229623
- Practice address
- 69 Spence Ave
Holtsville, NY 11742-1928 - Phone
- (631) 868-0114
- NPI assigned
- Oct 19, 2006
- Last updated
- Aug 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 229623 | NY | Primary |
Addresses
Primary practice location
69 Spence Ave
Holtsville, NY 11742-1928
Mailing address
69 Spence Ave
Holtsville, NY 11742-1928
Phone (631) 868-0114
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15 Horseblock PL
Farmingville, NY 11738-1204
Phone (631) 854-2552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229623 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suffolk County Dept of Health Services | Current | Accepting new patients | |
| County of Suffolk | Current | Accepting new patients | |
| County of Suffolk | Current | Accepting new patients | |
| Alternative Oppurtunities | Past | Accepting new patients | |
| Nys Office of Mental Health | Past | Accepting new patients |
Locations
1841 Brentwood Rd
Brentwood, NY 11717
Phone (631) 601-1300
15 Horseblock Pl
Farmingville, NY 11738
Phone (631) 854-2552
3500 Sunrise Hwy
Ste 124
Great River, NY 11739
Phone (631) 854-0000
300 Center Dr
Riverhead, NY 11901
Phone (631) 852-1440
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Suffolk County Department of Health Services
- Public Health or Welfare Agency
- Great River, NY
- NPI 1285750737
-
- Methadone Clinic
- Smithtown, NY
- NPI 1649374851
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverhead, NY
- NPI 1104920313
-
- Psychiatric Hospital
- West Brentwood, NY
- NPI 1740344910
-
dba Health Resources of Arkansas
- Case Management Agency
- Batesville, AR
- NPI 1720063779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1285715615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 SPENCE AVE",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421928",
"telephone_number": "631-868-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 SPENCE AVE",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421928",
"telephone_number": "631-868-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERJEE",
"first_name": "SOUMITRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "229623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holtsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.