Organization Active NPI

Manhattan Psychiatric Associates, PLLC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1508286873
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268082 Issued in NY
Legal business name
MANHATTAN PSYCHIATRIC ASSOCIATES, PLLC
Practice address
57 W 57TH St Ste 912
New York, NY 10019-2829
Phone
(855) 767-7287
Fax
(646) 687-7893
NPI assigned
Apr 24, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Michael Golder, MD
Title
Medical Director
Phone
(855) 767-7287

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019998 NY
Clinical Child & Adolescent Psychologist 103TC2200X 017410 NY
Psychiatry Physician 2084P0800X 268082 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 254324 NY

Addresses

Primary practice location

57 W 57TH St Ste 912
New York, NY 10019-2829

Mailing address

57 W 57TH St Ste 912
New York, NY 10019-2829
Phone (855) 767-7287

National Provider Directory

National Provider Directory

Locations

57 W 57th St
Ste 912
New York, NY 10019
Phone (212) 337-0600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1508286873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 912",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192829",
            "telephone_number": "855-767-7287",
            "fax_number": "646-687-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 912",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192829",
            "telephone_number": "855-767-7287",
            "fax_number": "646-687-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PSYCHIATRIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "GOLDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-767-7287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019998",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "017410",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268082",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "254324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.