Individual provider Active NPI

Dimple Sodhi, MD

  • Psychiatry Physician
  • Melville, NY
National Provider Identifier
1477710978
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
265405 Issued in NY
Practice address
150 Broadhollow Rd
107
Melville, NY 11747-4905
Phone
(516) 641-5677
NPI assigned
May 21, 2008
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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 265405 NY Primary

Addresses

Primary practice location

150 Broadhollow Rd
107
Melville, NY 11747-4905

Mailing address

150 Broadhollow Rd
107
Melville, NY 11747-4905
Phone (516) 641-5677

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
I20130904000271 NY Practitioner - Psychiatry 6002059466 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Charles Evans Center, Inc.Group PAC ID 1759695992, 17 clinicians

Practice addresses (Care Compare)

113 Glen Cove Ave
Glen Cove, NY 11542-3438
Phone (516) 622-8888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. Psychiatry CurrentSince Sep 25, 2018 Accepting new patients
Charles Evans Center, Inc CurrentSince Jan 2, 2018 Accepting new patients
The Long Island Home CurrentSince Aug 1, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 22, 2013 Accepting new patients
The Long Island Home CurrentSince Aug 1, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 22, 2013 Accepting new patients
Charles Evans Center, Inc. CurrentSince Jan 2, 2018 Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

950 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 822-4060

Organizations & group practices 8

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1477710978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "107",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "516-641-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "107",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "516-641-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHI",
        "first_name": "DIMPLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "265405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.