CL Medicine PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

CL MEDICINE PLLC

Practice address

200 Park Ave S Ste 1118B
New York, NY 10003-1537

Phone

(646) 389-4780

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Charuvastra, MDNPI 1235353723

Title

Owner/President

Phone

(646) 389-9871

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anthony Charuvastra, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
  • NPI 1235353723
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1679273676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE S STE 1118B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031537",
            "telephone_number": "646-389-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE S STE 1118B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031537",
            "telephone_number": "646-389-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "CHARUVASTRA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "646-389-9871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cje Physical Therapy PLLC
• CKC Medical Office P.C.
• CKG Nurse Practitioner in Psychiatry PLLC
• CKM Medical PLLC
• Ckny Optical, Corp
• Jan Claassen, MD
• Bimmer E Claessen, MD, PHD
• Molly Clare Claflin, LMSW
• Bartholt Clagett, MD
• David J Clain, MD

• Child & Adolescent Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.