Suffern Psychiatric Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

148678 Issued in NY

Legal business name

SUFFERN PSYCHIATRIC SERVICES LLC

Practice address

255 Lafayette Ave
Good Samaritan Hospital Behavior Health Dept
Suffern, NY 10901

Phone

(845) 368-5251

Fax

(845) 557-0300

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mahomed S Bhana, MDNPI 1841387123

Title

Managing Director

Phone

(845) 368-5251

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Mahomed S Bhana, MD

  • Psychiatry Physician
  • Suffern, NY
  • NPI 1841387123
  Medicare reassignment NPD Authorized official
• Kuljit Singh, MD

  • Psychiatry Physician
  • West Nyack, NY
  • NPI 1548236854
  NPD (past)
• Evelyn R Wassermann, MD

  • Psychiatry Physician
  • Suffern, NY
  • NPI 1881759330
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1497842876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-557-0300",
            "fax_number": "845-557-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "address_2": "GOOD SAMARITAN HOSPITAL BEHAVIOR HEALTH DEPT",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-368-5251",
            "fax_number": "845-557-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFERN PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BHANA",
        "authorized_official_first_name": "MAHOMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "845-368-5251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "148678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02753533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Reich PA, PC
• Michele Sturtz, R.PH.
• Dilip V Subhedar, M.D.
• Suffern Cardiology, PC
• Suffern Ekg Echo Cardiology PC
• Alison M Sullivan, RD
• Teresa Ann Sullivan, FNP
• Miriam Sultan, LCSW
• Karen Sussan, LMHC, LMSW
• Katia Sussholz, RN

• Psychiatry Physician in Suffern, NY
• Providers in Suffern, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.