Organization Active NPI

Neuropsychiatry PC

  • Psychiatry Physician
  • Port Chester, NY
National Provider Identifier
1407809346
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
204047 Issued in NY
Legal business name
NEUROPSYCHIATRY PC
Practice address
25 S Regent St
Port Chester, NY 10573-3512
Phone
(914) 933-3940
Fax
(914) 840-1281
NPI assigned
May 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Carlos A Rueda, MDNPI 1366490195
Title
President
Phone
(917) 972-6771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040318001842 NY Part B Supplier - Clinic/Group Practice 5193615490 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY; Yonkers, NY; White Plains, NY; Port Chester, NY

National Provider Directory

National Provider Directory

Locations

110 S Turnpike Rd
Wallingford, CT 06492
Phone (800) 528-6664

1400 Route 70 E
Ste B
Cherry Hill, NJ 08034
Phone (856) 482-0030

25 S Regent St
Port Chester, NY 10573
Phone (914) 939-1922

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 204047 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

25 S Regent St
Port Chester, NY 10573-3512

Mailing address

14 Easthaven LN
White Plains, NY 10605-5460
Phone (914) 933-3940

Other practice location 1

60 Essex St
Millburn, NJ 07041-1607
Phone (973) 339-0742

Other practice location 2

240 Frisch Ct Ste 101
Paramus, NJ 07652-5249
Phone (201) 472-5448

Other practice location 3

25 Pompton Ave Ste 308
Verona, NJ 07044-2939
Phone (608) 352-4265

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02188705MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2024.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1407809346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EASTHAVEN LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055460",
            "telephone_number": "914-933-3940",
            "fax_number": "914-840-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S REGENT ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733512",
            "telephone_number": "914-933-3940",
            "fax_number": "914-840-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Essex St",
            "address_purpose": "LOCATION",
            "city": "Millburn",
            "state": "NJ",
            "postal_code": "070411607",
            "country_code": "US",
            "telephone_number": "973-339-0742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Frisch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076525249",
            "country_code": "US",
            "telephone_number": "201-472-5448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Pompton Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442939",
            "country_code": "US",
            "telephone_number": "608-352-4265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROPSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "RUEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-972-6771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "204047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02188705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.