Rockland Behavioral Medicine PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

244833 Issued in NY

Legal business name

ROCKLAND BEHAVIORAL MEDICINE PLLC

Practice address

141 S Liberty Dr
Stony Point, NY 10980-2422

Phone

(845) 241-5200

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nnamdi Maduekwe, MD

Title

Medical Director

Phone

(646) 286-9770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1679950596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HALLEY DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702109",
            "telephone_number": "646-286-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S LIBERTY DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802422",
            "telephone_number": "845-241-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND BEHAVIORAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "MADUEKWE",
        "authorized_official_first_name": "NNAMDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-286-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "244833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.