Clifford Bruce Passen, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

199559 Issued in NY

Practice address

268 Broadway
Suite 202
Saratoga Springs, NY 12866-2367

Phone

(518) 583-3002

Fax

(518) 584-1666

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 11, 2015 through May 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eloise Palmisano RN Nurse Practitioner in Psychiatry, PLLC

  dba Eloise Palmisano RN NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saratoga Springs, NY
  • NPI 1861153884
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1558567149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 BROADWAY",
            "address_2": "SUITE 202",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662367",
            "telephone_number": "518-583-3002",
            "fax_number": "518-584-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BROADWAY",
            "address_2": "SUITE 202",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662367",
            "telephone_number": "518-583-3002",
            "fax_number": "518-584-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSEN",
        "first_name": "CLIFFORD",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "199559",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "199559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elaine Parillo, MS
• Brianna Parisi, M.S., LMHC
• Glenn Park, D.D.S.
• Margaret Brown Parobeck, LCSWR
• Christine Anne Passen, MPH, RDN, CDN
• Bradley Pastore
• Raj Rohit Patel, PHARM D
• Pathways Counseling of Saratoga, PC
• Courtney Caralynn Paton, PMHNP
• Patrick J. Szurek, PLLC

• Child & Adolescent Psychiatry Physician in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.