Active NPI
Pankhuree Vandana, MD
- Child & Adolescent Psychiatry Physician
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 319075
- Practice address
- 21 Bloomingdale Rd
White Plains, NY 10605-1504 - Phone
- (914) 997-5848
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35.124491 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 319075 | NY | Primary |
Addresses
Primary practice location
21 Bloomingdale Rd
White Plains, NY 10605-1504
Mailing address
6 Lewiston CT
Briarcliff Manor, NY 10510-2536
Phone (646) 774-5000
Other practice location 1
Center for Autism and Developing Brain
21 Bloomingdale Road
White Plains, NY 10605
Phone (914) 997-5848
Other practice location 2
444 Butterfly Gardens Dr
Columbus, OH 43215-3427
Phone (614) 355-8080
Other practice location 3
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 355-8080
Other practice location 4
495 E Main St
Columbus, OH 43215-5349
Phone (614) 355-8550
Other practice location 5
500 E Main St
Columbus, OH 43215-5369
Phone (614) 355-6300
Other practice location 6
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 355-8005
Other practice location 7
185 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 355-7505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112635 | Medicaid | OH | |
| 2846675 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Psychiatry | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Past | Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
156 William St
New York, NY 10038
Phone (646) 962-4679
21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100
21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- yxv9001@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
- Nutritionist
- New York, NY
- NPI 1891857025
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Psychiatry
-
- Psychologist
- New York, NY
- NPI 1871692210
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1568679504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LEWISTON CT",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105102536",
"telephone_number": "646-774-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BLOOMINGDALE RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051504",
"telephone_number": "914-997-5848"
}
],
"practiceLocations": [
{
"address_1": "Center for Autism and Developing Brain",
"address_2": "21 Bloomingdale Road",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "10605",
"country_code": "US",
"telephone_number": "914-997-5848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "444 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153427",
"country_code": "US",
"telephone_number": "614-355-8080",
"fax_number": "614-938-0170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-355-8080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "495 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432155349",
"country_code": "US",
"telephone_number": "614-355-8550",
"fax_number": "614-355-8539",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432155369",
"country_code": "US",
"telephone_number": "614-355-6300",
"fax_number": "614-355-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "380 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157508",
"country_code": "US",
"telephone_number": "614-355-8005",
"fax_number": "614-355-7855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "185 W Schrock Rd",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430812890",
"country_code": "US",
"telephone_number": "614-355-7505",
"fax_number": "614-355-7545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDANA",
"first_name": "PANKHUREE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2022-09-20",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35.124491",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "319075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112635",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846675",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.