NPIMap

Organization Active NPI

Interfaith Psychiatry Services, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1487958559
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTERFAITH PSYCHIATRY SERVICES, P.C.
Practice address
1545 Atlantic Avenue
Faculty Practice
Brooklyn, NY 11213-1122
Phone
(718) 240-8352
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Jason Hershberger, MDNPI 1598712283
Title
Chairman / P.C. President
Phone
(718) 613-4969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1545 Atlantic Avenue
Faculty Practice
Brooklyn, NY 11213-1122

Mailing address

1545 Atlantic Avenue
Faculty Practice
Brooklyn, NY 11238
Phone (718) 613-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000215 NY Part B Supplier - Clinic/Group Practice 0244409613 Receives reassigned benefits from 61 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1038 Broadway
Brooklyn, NY 11221
Phone (718) 613-6210

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1487958559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVENUE",
            "address_2": "FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-613-4708",
            "fax_number": "718-613-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVENUE",
            "address_2": "FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-240-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH PSYCHIATRY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2024-08-12",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHAIRMAN / P.C. PRESIDENT",
        "authorized_official_telephone_number": "718-613-4969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.