Balkrishna Kalayam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

142224 Issued in NY

Practice address

600 Mamaroneck Ave
Ste 400
Harrison, NY 10528-1613

Phone

(914) 468-0874

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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 Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1588751663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "address_2": "STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-468-0874",
            "fax_number": "914-468-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "address_2": "STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-468-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAYAM",
        "first_name": "BALKRISHNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "142224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Yvette Johnson
• Dashay Jones
• Becky Dunza Jordan, NPP
• Jerry Josefs
• Mathew Eric Jung
• Amanda Kantor, FNP-C
• Michelle Kaufman, D.P.M.
• Darsprit Kaur
• Elisa M Kavanagh, DPM
• Jeryl Kaye

• Psychiatry Physician in Harrison, NY
• Providers in Harrison, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.