Individual provider Active NPI

Ronald Thesee, MD

  • Psychiatry Physician
  • Rome, NY
National Provider Identifier
1295850105
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P27342 Issued in NY
Practice address
195 - 199 W. Dominick St.
Rome, NY 13440-5855
Phone
(315) 272-2730
Fax
(315) 337-0675
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P27342 NY Primary

Addresses

Primary practice location

195 - 199 W. Dominick St.
Rome, NY 13440-5855

Mailing address

293 Genesee St.
Utica, NY 13501-3804
Phone (315) 272-2600

Other identifiers 1

IdentifierTypeStateIssuer
P27342MedicaidNY

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
I20090917000311 NY Practitioner - Geriatric Psychiatry 4183770068 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P27342NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Center, Inc. CurrentSince Jun 20, 2012 Accepting new patients
Nys Office of Mental Health Past Accepting new patients
Lora a. Abraham, LCSW, P.C. PastSince Oct 9, 2022 Accepting new patients

Locations

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

293 Genesee St
Utica, NY 13501
Phone (315) 272-2600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1295850105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 GENESEE ST.",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013804",
            "telephone_number": "315-272-2600",
            "fax_number": "315-733-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 - 199 W. DOMINICK ST.",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405855",
            "telephone_number": "315-272-2730",
            "fax_number": "315-337-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THESEE",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "P27342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P27342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.