Organization Active NPI

New Spruce, LLC

  • Psychiatry Physician
  • Catskill, NY
National Provider Identifier
1689262859
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEW SPRUCE, LLC
Practice address
1150 State Route 23
Catskill, NY 12414-5030
Phone
(518) 947-9140
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
James Weidel, PMHNP-BC
Title
Owner
Phone
(305) 790-1939

Specialties & licenses 1

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

Addresses

Primary practice location

1150 State Route 23
Catskill, NY 12414-5030

Mailing address

1150 State Route 23
Catskill, NY 12414-5030
Phone (518) 947-9140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@new-spruce-psych.direct.kno2fy.com Direct

National Provider Directory

National Provider Directory

Locations

1150 State Route 23
Catskill, NY 12414
Phone (518) 947-7140

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1689262859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 STATE ROUTE 23",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145030",
            "telephone_number": "518-947-9140",
            "fax_number": "844-867-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE ROUTE 23",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145030",
            "telephone_number": "518-947-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPRUCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "WEIDEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-790-1939",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@new-spruce-psych.direct.kno2fy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 State Route 23",
            "city": "Catskill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124145030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.