Resilience Psychiatry, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RESILIENCE PSYCHIATRY, PC

Practice address

46 N Country Rd
Suite 4
Setauket, NY 11733

Phone

(631) 371-4844

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Caceda, MD, PHDNPI 1417135435

Title

President

Phone

(631) 371-4844

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Caceda, M.D., PH.D.

  • Psychiatry Physician
  • Setauket, NY
  • NPI 1417135435
  NPD Authorized official
• Jessica Malena Carbajal Caceda, MD

  • Child & Adolescent Psychiatry Physician
  • Setauket, NY
  • NPI 1336479823
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1467137729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-371-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-371-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "CACEDA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-371-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Porte, M.D.
• Joseph J Pulaski
• Evan Rafferty
• Kiera Ramaliu
• Rena Ferguson, MD, PC
• Maureen Theresa Reyes
• Reynolds Chiropractic & Acupuncture PLLC
• William B. Reynolds, D.C.
• Celeste Catherine Rice, MPT
• Richard Allan Balter, MD Facp

• Psychiatry Physician in Setauket, NY
• Providers in Setauket, 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 Jun 15, 2023; 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.