Amy Bissada
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Highland, NY
NPI 1497041487 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1497041487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 279808 (NY)
- Practice address
- 629 N Chodikee Lake Rd
Highland, NY 12528-2726 - Phone
- (845) 691-6006
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279808 | NY | MD | Child & Adolescent Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 279808 | NY | Yes |
Addresses
Primary practice location
629 N Chodikee Lake Rd
Highland, NY 12528-2726
Mailing address
629 N Chodikee Lake Rd
Highland, NY 12528-2726
Other providers in Highland, NY
- Jennifer Grace Barresi
- Bridget J Becker
- Alisha M Benitez
- Stacey M Biggio
- Kathy Jean Birchall
- Courtney Bodendorf
- Gracie Borel
- Karen Flynn Bosco
- Bradford W Ganz, DMD, PLLC
- Nicole Bradley
All providers in Highland, NY · Child & Adolescent Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.