Active NPI
R & V NP in Psychiatric Services PLLC
- Psychiatry Physician
- Malverne, NY
National Provider Identifier
1497216675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- R & V NP IN PSYCHIATRIC SERVICES PLLC
- Practice address
- 340 Trinity PL
Malverne, NY 11565-1248 - Phone
- (917) 557-6064
- Fax
- (917) 591-4505
- NPI assigned
- Mar 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reagan Anusionwu
- Title
- Founder
- Phone
- (718) 309-0381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
340 Trinity PL
Malverne, NY 11565-1248
Mailing address
1850 Lafayette Ave Apt 6E
Bronx, NY 10473-2837
Phone (646) 844-0518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03623232 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jessicacbcs@protonmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569283200000",
"number": "1497216675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 LAFAYETTE AVE APT 6E",
"city": "BRONX",
"state": "NY",
"postal_code": "104732837",
"telephone_number": "646-844-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 TRINITY PL",
"city": "MALVERNE",
"state": "NY",
"postal_code": "115651248",
"telephone_number": "917-557-6064",
"fax_number": "917-591-4505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R & V NP IN PSYCHIATRIC SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-28",
"last_updated": "2019-09-24",
"status": "A",
"authorized_official_last_name": "ANUSIONWU",
"authorized_official_first_name": "REAGAN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "718-309-0381"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03623232",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jessicacbcs@protonmail.com",
"affiliation": "N",
"endpointDescription": "Rendering Provider/Owner",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "340 Trinity Pl",
"city": "Malverne",
"state": "NY",
"country_code": "US",
"postal_code": "115651248",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Malverne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.