Active NPI
Cheryl Henrietta Cottrol, M.D.
- Neurology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 161569
- Practice address
- 347 W 57TH St
New York, NY 10019-3173 - Phone
- (888) 384-5554
- Fax
- (866) 529-5039
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33177 | CT | |
| Neurology Physician | 2084N0400X | 161569 | NY | Primary |
Addresses
Primary practice location
347 W 57TH St
New York, NY 10019-3173
Mailing address
347 W 57TH St
New York, NY 10019-3173
Phone (212) 369-2395
Other practice location 1
982 E Main St
Bridgeport, CT 06608-1913
Phone (203) 696-3260
Other practice location 2
332 E 14th St
New York, NY 10003-4243
Phone (212) 481-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33177 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allbrainmd PLLC | Current | Accepting new patients | |
| Affiliate of Neurology & Psychiatry, PLLC | Neurology | Current | Accepting new patients |
| Connecticut Mental Health Specialists Inc | Psychiatry | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Optimus Health Care Inc | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Psychiatry | Past | Accepting new patients |
Locations
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- cheryl.cottrol.2@13555.direct.athenahealth.com
- cherylcottrol@tdh.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Farmington, CT
- NPI 1053362814
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Neurology Physician
- New York, NY
- NPI 1982361457
-
- Medical Specialty Clinic/Center
- New York, NY
- NPI 1194590562
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1417091356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 W 57TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193173",
"telephone_number": "212-369-2395",
"fax_number": "866-529-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 W 57TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193173",
"telephone_number": "888-384-5554",
"fax_number": "866-529-5039"
}
],
"practiceLocations": [
{
"address_1": "982 E Main St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066081913",
"country_code": "US",
"telephone_number": "203-696-3260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "332 E 14th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100034243",
"country_code": "US",
"telephone_number": "212-481-3333",
"fax_number": "212-253-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTTROL",
"first_name": "CHERYL",
"middle_name": "HENRIETTA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "33177",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "161569",
"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 Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.