Organization Active NPI

North Salem Psychiatric Services PC

  • Psychiatry Physician
  • North Salem, NY
National Provider Identifier
1649328832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
086183 Issued in NY
Legal business name
NORTH SALEM PSYCHIATRIC SERVICES PC
Practice address
388 Hardscrabble Rd
North Salem, NY 10560-1020
Phone
(914) 669-5526
Fax
(914) 669-6051
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward Gordon, M.D.
Title
President
Phone
(914) 669-5526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 086183 NY Primary

Addresses

Primary practice location

388 Hardscrabble Rd
North Salem, NY 10560-1020

Mailing address

388 Hardscrabble Rd
North Salem, NY 10560-1020
Phone (914) 669-5526

National Provider Directory

National Provider Directory

Locations

388 Hardscrabble Rd
North Salem, NY 10560
Phone (914) 669-5526

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649328832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 HARDSCRABBLE RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601020",
            "telephone_number": "914-669-5526",
            "fax_number": "914-669-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 HARDSCRABBLE RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601020",
            "telephone_number": "914-669-5526",
            "fax_number": "914-669-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SALEM PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-669-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "086183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salem, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.