Organization Active NPI

Trustees of Columbia University in Department of Psychiatry

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1619911526
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TRUSTEES OF COLUMBIA UNIVERSITY IN DEPARTMENT OF PSYCHIATRY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-2330
Fax
(212) 305-9657
NPI assigned
Jun 15, 2006
Last updated
Jan 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Ian Scrivener
Title
Assistant Director
Phone
(212) 304-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

710 W 168TH St
Neurological Institute 12-1222
New York, NY 10032-3726
Phone (212) 305-2330

Other identifiers 1

IdentifierTypeStateIssuer
02378169MedicaidNY

National Provider Directory

National Provider Directory

Locations

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

622 W 168th St
Fl 15
New York, NY 10032

635 W 165th St
Ste 636
New York, NY 10032
Phone (212) 342-1600

710 W 168th St
#12
New York, NY 10032
Phone (212) 305-9758

710 W 168th St
#121222
New York, NY 10032

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1619911526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "address_2": "NEUROLOGICAL INSTITUTE 12-1222",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "212-305-2330",
            "fax_number": "212-305-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-2330",
            "fax_number": "212-305-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY IN DEPARTMENT OF PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "SCRIVENER",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "212-304-6308"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02378169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.