NPIMap

Organization Active NPI

New Hartford Psychiatric Services PLLC

  • Clinical Neuropsychologist
  • Whitesboro, NY
National Provider Identifier
1619004355
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
207888 Issued in NY
Legal business name
NEW HARTFORD PSYCHIATRIC SERVICES PLLC
Practice address
327 Oriskany Blvd
Whitesboro, NY 13492-1422
Phone
(315) 768-7181
Fax
(315) 768-7182
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. Marcellus R Cephas, MDNPI 1134116007
Title
Owner
Phone
(315) 768-7181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 207888 NY Primary

Addresses

Primary practice location

327 Oriskany Blvd
Whitesboro, NY 13492-1422

Mailing address

327 Oriskany Blvd
Whitesboro, NY 13492-1422
Phone (315) 768-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000331 NY Part B Supplier - Clinic/Group Practice 4981590304 Receives reassigned benefits from 13 practitioners
Practice locations: Whitesboro, NY

National Provider Directory

National Provider Directory

Locations

10 Utica St
Hamilton, NY 13346
Phone (315) 824-2751

327 Oriskany Blvd
Whitesboro, NY 13492
Phone (315) 709-2556

238 Oriskany Blvd
Whitesboro, NY 13492
Phone (315) 768-7181

101 Main St
Whitesboro, NY 13492
Phone (315) 768-6389

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1619004355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ORISKANY BLVD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921422",
            "telephone_number": "315-768-7181",
            "fax_number": "315-768-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ORISKANY BLVD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921422",
            "telephone_number": "315-768-7181",
            "fax_number": "315-768-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HARTFORD PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "CEPHAS",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-768-7181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "207888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.