Organization Active NPI

Dr. Ditzell Psychiatry, PLLC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1356984173
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Dr. Jeffrey S Ditzell, DONPI 1821112772
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

Other providers in New York, NY

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.

Verify at the official NPI Registry.