Active NPI
Star Behavioral Specialists
- Psychiatry Physician
- Rockville Centre, NY
National Provider Identifier
1558027458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- STAR BEHAVIORAL SPECIALISTS
- Practice address
- 4 Andover Rd
Rockville Centre, NY 11570-1519 - Phone
- (509) 638-9401
- NPI assigned
- Nov 15, 2021
- 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
- Dr. Georges J. Casimir, MD
- Title
- General Partner
- Phone
- (509) 638-9401
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Geriatric Psychiatry Physician | 2084P0805X |
Addresses
Primary practice location
4 Andover Rd
Rockville Centre, NY 11570-1519
Mailing address
5909 NE 106TH Way
Vancouver, WA 98686-7025
Phone (509) 638-9401
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636934400000",
"number": "1558027458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 NE 106TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986867025",
"telephone_number": "509-638-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ANDOVER RD",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701519",
"telephone_number": "509-638-9401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR BEHAVIORAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-07-13",
"status": "A",
"authorized_official_last_name": "CASIMIR",
"authorized_official_first_name": "GEORGES",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "509-638-9401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.