Organization Active NPI

At Psychiatric Care, P.C.

  • Community/Behavioral Health Agency
  • Rego Park, NY
National Provider Identifier
1366682064
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
163535-2 Issued in NY
Legal business name
AT PSYCHIATRIC CARE, P.C.
Practice address
9229 Queens Blvd
Suite 1I
Rego Park, NY 11374-1056
Phone
(718) 275-8073
NPI assigned
Feb 20, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Alexander Tsynman, M.D.
Title
Psychiatrist
Phone
(718) 275-8073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 163535-2 NY Primary

Addresses

Primary practice location

9229 Queens Blvd
Suite 1I
Rego Park, NY 11374-1056

Mailing address

706 Wilson St
Valley Stream, NY 11581-3528
Phone (516) 528-2248

Other identifiers 1

IdentifierTypeStateIssuer
00979511MedicaidNY

National Provider Directory

National Provider Directory

Locations

9229 Queens Blvd
Ste 1I
Rego Park, NY 11374
Phone (347) 639-1663

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1366682064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 WILSON ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813528",
            "telephone_number": "516-528-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE 1I",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-275-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT PSYCHIATRIC CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "TSYNMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "718-275-8073",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "163535-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00979511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.