Organization Active NPI

Comprehensive Behavioral Medical Care PC

  • Psychiatry Physician
  • Farmingdale, NY
National Provider Identifier
1558357442
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMPREHENSIVE BEHAVIORAL MEDICAL CARE PC
Practice address
750 Fulton St
Farmingdale, NY 11735-3642
Phone
(631) 249-2765
Fax
(631) 249-3617
NPI assigned
Sep 26, 2005
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Mr. Martin A Chrisphonte, MDNPI 1619962966
Title
Secretary
Phone
(631) 249-2765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

750 Fulton St
Farmingdale, NY 11735-3642

Mailing address

750 Fulton St
Farmingdale, NY 11735-3642
Phone (631) 249-2765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000238 NY Part B Supplier - Clinic/Group Practice 0941253785 Receives reassigned benefits from 1 practitioner
Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory
Tax ID family
CBMC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1558357442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353642",
            "telephone_number": "631-249-2765",
            "fax_number": "631-249-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353642",
            "telephone_number": "631-249-2765",
            "fax_number": "631-249-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CHRISPHONTE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "631-249-2765",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.