Individual provider Active NPI

Eldon Steven Dummit III, MD

  • Child & Adolescent Psychiatry Physician
  • Bedford Hills, NY
National Provider Identifier
1487619839
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
171317 Issued in NY
Practice address
333 Adams Street
Bedford Hills, NY 10507-2001
Phone
(914) 241-0758
Fax
(914) 242-5152
NPI assigned
Apr 19, 2006
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 171317 NY Primary

Addresses

Primary practice location

333 Adams Street
Bedford Hills, NY 10507-2001

Mailing address

228 Linda Ave
Hawthorne, NY 10532-2050
Phone (914) 773-7423

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
171317NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC PastSince Aug 28, 2012 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
The Therapy Center LLP PastSince Apr 23, 2016 Accepting new patients

Organizations & group practices 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1487619839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322050",
            "telephone_number": "914-773-7423",
            "fax_number": "914-773-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ADAMS STREET",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-241-0758",
            "fax_number": "914-242-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMMIT",
        "first_name": "ELDON",
        "middle_name": "STEVEN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "171317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.