Active NPI
Neuropsychiatry PC
- Psychiatry Physician
- Port Chester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 204047
- 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, MD
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dobbs Ferry, NY
- NPI 1437590999
NY
-
- Psychiatric/Mental Health Nurse Practitioner
- Montrose, NY
- NPI 1922029628
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1336164490
-
- Geriatric Psychiatry Physician
- Brooklyn, NY
- NPI 1952404501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 204047 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02188705 | Medicaid | NY |
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.