Active NPI
Memorial Psychiatry Group
- Psychiatry Physician
- New York, NY
National Provider Identifier
1689645244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MEMORIAL PSYCHIATRY GROUP
- Practice address
- 1275 York Ave
New York, NY 10021-6007 - Phone
- (646) 227-3813
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salvatore M Andreozzi
- Title
- Associate Director
- Phone
- (646) 227-3751
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10021-6007
Mailing address
633 3Rd Ave
Box 3
New York, NY 10017-6706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040313000161 | NY | Part B Supplier - Clinic/Group Practice | 2062301476 |
Receives reassigned benefits from 70 practitioners Practice locations: Commack, NY; Hauppauge, NY; New York, NY; Uniondale, NY; West Harrison, NY |
National Provider Directory
National Provider DirectoryLocations
353 E 68th St
New York, NY 10065
Phone (646) 422-4300
Practitioners 73
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1255220455
Multi-Specialty, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1689645244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 3RD AVE",
"address_2": "BOX 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100216007",
"telephone_number": "646-227-3813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL PSYCHIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "ANDREOZZI",
"authorized_official_first_name": "SALVATORE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
"authorized_official_telephone_number": "646-227-3751"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.