Active NPI
Comprehensive Behavioral Medical Care PC
- Psychiatry Physician
- Farmingdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2008
- 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
- Mr. Martin A Chrisphonte, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- CBMC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Farmingdale, NY
- NPI 1972671592
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.
-
- Psychiatry Physician
- Farmingdale, NY
- NPI 1588658553
-
- Psychiatry Physician
- Farmingdale, NY
- NPI 1619962966
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.