Active NPI
Joseph Emmanuel, M.D.
- Geriatric Psychiatry Physician
- Oakland, CA
National Provider Identifier
1649243064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 234016
- Practice address
- 1940 Webster St Ste 220
Oakland, CA 94612-2932 - Phone
- (845) 341-7168
- Fax
- (707) 419-4443
- NPI assigned
- Feb 8, 2006
- Last updated
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 234016 | NY | Primary |
Addresses
Primary practice location
1940 Webster St Ste 220
Oakland, CA 94612-2932
Mailing address
3 Hill Rd
Washingtonville, NY 10992-1260
Phone (845) 496-6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Ambulate LLC | Past | Accepting new patients | |
| County of Sullivan | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
dba Sullivan County Department of Community Services
- Community/Behavioral Health Agency
- Liberty, NY
- NPI 1417987165
-
- Private Vehicle
- Washingtonville, NY
- NPI 1376803478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1649243064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HILL RD",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921260",
"telephone_number": "845-496-6012",
"fax_number": "845-496-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 WEBSTER ST STE 220",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122932",
"telephone_number": "845-341-7168",
"fax_number": "707-419-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMANUEL",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "234016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.