Moolamannil A. Joseph, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

115978 Issued in NY

Practice address

14 Pelton St
Monticello, NY 12701-1908

Phone

(845) 794-3283

Fax

(845) 791-4153

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Nassau Guidance Center

  • Community/Behavioral Health Agency
  • Levittown, NY
  • NPI 1982918587
  NPD (past)
• Southeast Nassau Guidance Center Inc.

  • Community/Behavioral Health Agency
  • Wantagh, NY
  • NPI 1124131461
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700947124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PELTON ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011908",
            "telephone_number": "845-794-3283",
            "fax_number": "845-791-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PELTON ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011908",
            "telephone_number": "845-794-3283",
            "fax_number": "845-791-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MOOLAMANNIL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "115978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Johnson, MS, CCC-SLP
• Portia Jones
• Alicia Jordan, MS
• Amoi E Jose, CASAC-T
• Joseph Giangiacomo
• Audrey C Julien, OTA
• Stuart C Kabak
• Brandon Foster Kaplan, PTA
• Deborah L Kaplan, RN
• Eric Kaplan, DPM

• Psychiatry Physician in Monticello, NY
• Providers in Monticello, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.