Active NPI
Omni Psychiatric Services PC
- Professional Counselor
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 215211
- Legal business name
- OMNI PSYCHIATRIC SERVICES PC
- Practice address
- 42 Grandview Cir
Manhasset, NY 11030-1314 - Phone
- (516) 365-2591
- Fax
- (212) 730-7797
- NPI assigned
- Aug 21, 2012
- Last updated
- Aug 21, 2012
- 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
- Dr. Luz Amelia Green, MD
- Title
- Psychiatrist
- Phone
- (212) 730-7777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 215211 | NY | Primary |
Addresses
Primary practice location
42 Grandview Cir
Manhasset, NY 11030-1314
Mailing address
1430 Broadway RM 1608
New York, NY 10018-3363
Phone (212) 730-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Omni Psychiatric Services PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Manhasset, NY
- NPI 1649320383
Locations
1430 Broadway
Rm 1608
New York, NY 10018
Phone (212) 730-7777
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1497825525
-
- Psychiatry Physician
- New York, NY
- NPI 1982754602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345507200000",
"number": "1689922783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 BROADWAY RM 1608",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183363",
"telephone_number": "212-730-7777",
"fax_number": "212-730-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 GRANDVIEW CIR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110301314",
"telephone_number": "516-365-2591",
"fax_number": "212-730-7797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI PSYCHIATRIC SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "LUZ",
"authorized_official_middle_name": "AMELIA",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "212-730-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "215211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.