Individual provider Active NPI

Stephen Stuart Teich, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1700180528
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
102756 Issued in NY
Practice address
40 W 24TH St
New York, NY 10010-3215
Phone
(212) 741-1909
Fax
(212) 463-9081
NPI assigned
Jan 8, 2011
Last updated
Jan 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G25101 CA
Psychiatry Physician 2084P0800X 102756 NY Primary

Addresses

Primary practice location

40 W 24TH St
New York, NY 10010-3215

Mailing address

40 W 24TH St
New York, NY 10010-3215
Phone (212) 741-1909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306001617 NY Practitioner - Psychiatry 1951685254 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 W 24TH St
Apt 10N
New York, NY 10010-3215
Phone (212) 741-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102756NYMDSocial Worker
G25101CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294531200000",
    "number": "1700180528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103215",
            "telephone_number": "212-741-1909",
            "fax_number": "212-463-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103215",
            "telephone_number": "212-741-1909",
            "fax_number": "212-463-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICH",
        "first_name": "STEPHEN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G25101",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "102756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.