Organization Active NPI

R & V NP in Psychiatric Services PLLC

  • Psychiatry Physician
  • Malverne, NY
National Provider Identifier
1497216675
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Sep 24, 2019

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03623232MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jessicacbcs@protonmail.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.