Services for Preferred Medical Patients, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

253550 Issued in NY

Legal business name

SERVICES FOR PREFERRED MEDICAL PATIENTS, LLC

Practice address

200 E Route 59
Suite 8
Nanuet, NY 10954-2909

Phone

(845) 507-0442

Fax

(845) 507-0501

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Clovis RaymondNPI 1902034051

Title

MD

Phone

(561) 324-1581

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clovis Raymond, MD

  • Psychiatry Physician
  • Bardonia, NY
  • NPI 1902034051
  Medicare reassignment Authorized official
• Carl Ankrah

  • Psychiatric/Mental Health Nurse Practitioner
  • Bardonia, NY
  • NPI 1699935502
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1386920601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ROUTE 59",
            "address_2": "SUITE 8",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542909",
            "telephone_number": "845-507-0442",
            "fax_number": "845-507-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROUTE 59",
            "address_2": "SUITE 8",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542909",
            "telephone_number": "845-507-0442",
            "fax_number": "845-507-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES FOR PREFERRED MEDICAL PATIENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "CLOVIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-324-1581",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "253550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Segall
• Evelyn Selber, MD
• Mondzi Senat, LPN
• Julianne M Seremeta, RN
• Helen Serkez, RN
• Sharlyn Serwatien, RN
• Deset Tilahun Seyoum
• Achsah Shaji
• Anu Shaji
• Patricia A Shalvey, RN

• Psychiatry Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.