Individual provider Active NPI

Deborah Nancy Plachta, MD

  • Psychiatry Physician
  • Mamaroneck, NY
National Provider Identifier
1336217553
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
131497 Issued in NY
Practice address
490 Bleeker Ave Apt 3M
Mamaroneck, NY 10543-4547
Phone
(212) 879-5621
Fax
(914) 222-8838
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 131497 NY Primary

Addresses

Primary practice location

490 Bleeker Ave Apt 3M
Mamaroneck, NY 10543-4547

Mailing address

490 Bleeker Ave Apt 3M
Mamaroneck, NY 10543-4547
Phone (212) 879-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 16, 2014 through Sep 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131497NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1336217553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BLEEKER AVE APT 3M",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434547",
            "telephone_number": "212-879-5621",
            "fax_number": "914-222-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BLEEKER AVE APT 3M",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434547",
            "telephone_number": "212-879-5621",
            "fax_number": "914-222-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACHTA",
        "first_name": "DEBORAH",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "131497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

Verify at the official NPI Registry.