Individual provider Active NPI

Michael Colin, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1598086753
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
272858 Issued in NY
Practice address
445 W 23Rd St Apt 1Ee
New York, NY 10011-1445
Phone
(929) 269-6422
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 272858 NY Primary

Addresses

Primary practice location

445 W 23Rd St Apt 1Ee
New York, NY 10011-1445

Mailing address

445 W 23Rd St Apt 1Ee
New York, NY 10011-1445
Phone (929) 269-6422

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001760 NY Practitioner - Psychiatry 1850513219 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
272858NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Psychiatry CurrentSince Aug 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Psychiatry CurrentSince Aug 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Welllife Network Inc CurrentSince Oct 2, 2014 Accepting new patients
Welllife Network Inc., CurrentSince Oct 2, 2014 Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

14202 20th Ave
#3
Flushing, NY 11351

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1598086753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W 23RD ST APT 1EE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111445",
            "telephone_number": "929-269-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W 23RD ST APT 1EE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111445",
            "telephone_number": "929-269-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "272858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.