Active NPI
Irene B Seeland, MD
- Psychiatry Physician
- Ellenville, NY
National Provider Identifier
1336166065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 103114
- Practice address
- Route 209
Ellenville Regional Hospital
Ellenville, NY 12428 - Phone
- (845) 647-6400
- Fax
- (845) 647-6450
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 103114 | NY | Primary |
Addresses
Primary practice location
Route 209
Ellenville Regional Hospital
Ellenville, NY 12428
Mailing address
20-01 Maple Ave
Fair Lawn, NJ 07410-1523
Phone (201) 791-8088
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103114 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erh Specialty Practice | Past | Accepting new patients | |
| Maine Behavioral Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Ellenville, NY
- NPI 1265499602
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biddeford, ME
- NPI 1891733309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195862400000",
"number": "1336166065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20-01 MAPLE AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101523",
"telephone_number": "201-791-8088",
"fax_number": "201-791-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 209",
"address_2": "ELLENVILLE REGIONAL HOSPITAL",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "12428",
"telephone_number": "845-647-6400",
"fax_number": "845-647-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELAND",
"first_name": "IRENE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "103114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.