Active NPI
Dr. Ditzell Psychiatry, PLLC
- Psychiatry Physician
- New York, NY
National Provider Identifier
1356984173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DR. DITZELL PSYCHIATRY, PLLC
- Practice address
- 576 5TH Ave Ste 805
New York, NY 10036-4826 - Phone
- (917) 842-5337
- Fax
- (917) 591-7834
- NPI assigned
- Oct 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey S Ditzell, DO
- Title
- Psychiatrist
- Phone
- (917) 612-0483
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
576 5TH Ave Ste 805
New York, NY 10036-4826
Mailing address
576 5TH Ave Ste 805
New York, NY 10036-4826
Phone (917) 842-5337
National Provider Directory
National Provider DirectoryLocations
576 5th Ave
Ste 805
New York, NY 10036
Phone (917) 612-0483
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Psychiatry Physician
- New York, NY
- NPI 1821112772
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1093252355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571875200000",
"number": "1356984173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 5TH AVE STE 805",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364826",
"telephone_number": "917-842-5337",
"fax_number": "917-591-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 5TH AVE STE 805",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364826",
"telephone_number": "917-842-5337",
"fax_number": "917-591-7834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. DITZELL PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A",
"authorized_official_last_name": "DITZELL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "917-612-0483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.