Individual provider Active NPI

Charles F Kandalaft, MD

  • Psychiatry Physician
  • Valhalla, NY
National Provider Identifier
1467499798
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
232048 Issued in NY
Practice address
Nymc
Behavioral Health Center N312
Valhalla, NY 10595
Phone
(914) 493-7124
Fax
(914) 493-1015
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 232048 NY Primary

Addresses

Primary practice location

Nymc
Behavioral Health Center N312
Valhalla, NY 10595

Mailing address

Nymc
Behavioral Health Center N326
Valhalla, NY 10595
Phone (914) 493-7124

Other identifiers 1

IdentifierTypeStateIssuer
02743800MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000015 NY Practitioner - Psychiatry 3173503372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Psychiatric Associates, PLLCGroup PAC ID 4082891122, 3 clinicians

Practice addresses (Care Compare)

120 White Plains Rd
Suite 420
Tarrytown, NY 10591-5522
Phone 91490958381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
232048NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Psychiatric Associates, PLLC Psychiatry CurrentSince May 1, 2011 Accepting new patients
Westchester Faculty Psychological Associates PC Past Accepting new patients
Neil Zolkind, MD PC PastSince Oct 1, 2013 Accepting new patients
Faculty Psychiatric Associates, PC Psychiatry PastSince Jul 1, 2003 Accepting new patients
Preferred Psychiatric Associates of Westchester Psychiatry Past Accepting new patients

Locations

150 White Plains Rd
Ste 102
Tarrytown, NY 10591
Phone (914) 295-2660

120 White Plains Rd
Ste 420
Tarrytown, NY 10591
Phone (845) 533-6215

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1467499798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NYMC",
            "address_2": "BEHAVIORAL HEALTH CENTER N326",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7124",
            "fax_number": "914-493-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NYMC",
            "address_2": "BEHAVIORAL HEALTH CENTER N312",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7124",
            "fax_number": "914-493-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDALAFT",
        "first_name": "CHARLES",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "232048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.