Active NPI
Pushpa Shyam Patil, M.D.
- Geriatric Psychiatry Physician
- Poughkeepsie, NY
National Provider Identifier
1477698272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 165401-1
- Practice address
- 10 Ross Cir
Poughkeepsie, NY 12601-1078 - Phone
- (845) 452-8000
- Fax
- (845) 437-5180
- NPI assigned
- Feb 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 165401-1 | NY | Primary |
Addresses
Primary practice location
10 Ross Cir
Poughkeepsie, NY 12601-1078
Mailing address
37 Morgan LN
Poughquag, NY 12570-5708
Phone (845) 227-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165401-1 | NY | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477698272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MORGAN LN",
"city": "POUGHQUAG",
"state": "NY",
"postal_code": "125705708",
"telephone_number": "845-227-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ROSS CIR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011078",
"telephone_number": "845-452-8000",
"fax_number": "845-437-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "PUSHPA",
"middle_name": "SHYAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "165401-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.