Organization Active NPI

Westchester Faculty Psychological Associates PC

  • Psychologist
  • Valhalla, NY
National Provider Identifier
1528080603
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004185 Issued in NY
Legal business name
WESTCHESTER FACULTY PSYCHOLOGICAL ASSOCIATES PC
Practice address
100 Woods Road
Taylor Pavilion North
Valhalla, NY 10595-1530
Phone
(914) 493-8198
Fax
(914) 493-1015
NPI assigned
Jul 24, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carol A Semmelrath
Title
Business Administrator
Phone
(914) 496-8198

Practitioners 108

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

View all 108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080828000433 NY Part B Supplier - Clinic/Group Practice 5698664241 Receives reassigned benefits from 1 practitioner
Practice locations: Valhalla, NY

National Provider Directory

National Provider Directory

Locations

20 Hospital Rd
Valhalla, NY 10595
Phone (914) 493-7124

95 Grasslands Rd
#N309
Valhalla, NY 10595
Phone (914) 493-7124

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 004185 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Woods Road
Taylor Pavilion North
Valhalla, NY 10595-1530

Mailing address

40 Sunshine Cottage Road
Nymc-Psychiatry
Valhalla, NY 10595
Phone (914) 493-8198

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02922058MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2019.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1528080603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNSHINE COTTAGE ROAD",
            "address_2": "NYMC-PSYCHIATRY",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-8198",
            "fax_number": "914-493-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS ROAD",
            "address_2": "TAYLOR PAVILION NORTH",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-8198",
            "fax_number": "914-493-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER FACULTY PSYCHOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "SEMMELRATH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "914-496-8198"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02922058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.