Active NPI
St Vincent Psychiatric Associates
- Psychiatry Physician
- New York, NY
National Provider Identifier
1720314792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ST VINCENT PSYCHIATRIC ASSOCIATES
- Practice address
- 170 W 12TH St
New York, NY 10011-8202 - Phone
- (212) 356-4765
- Fax
- (212) 356-4608
- NPI assigned
- Oct 27, 2009
- 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
- Rob Ren
- Title
- PBS Director
- Phone
- (212) 356-4458
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Forensic Psychiatry Physician | 2084F0202X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
170 W 12TH St
New York, NY 10011-8202
Mailing address
450 W 33Rd St
PBS 12TH Floor
New York, NY 10001-2603
Phone (212) 356-4765
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256601600000",
"number": "1720314792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W 33RD ST",
"address_2": "PBS 12TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012603",
"telephone_number": "212-356-4765",
"fax_number": "212-356-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118202",
"telephone_number": "212-356-4765",
"fax_number": "212-356-4608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST VINCENT PSYCHIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A",
"authorized_official_last_name": "REN",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "PBS DIRECTOR",
"authorized_official_telephone_number": "212-356-4458"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Cindy St Price, APRN
- Marie Alberte St Surin
- St Theresa Pharmacy Corp (St Teresa Pharmacy)
- St Vincent Catholic Medical Centers (Medical Associates Group)
- St Vincent Catholic Medical Centers (Catholic)
- St Vincent's Hospital
- St Vincent's Urology
- St Vincents Catholic Medical Center
- St Vincents Catholic Medical Center OB-GYN Dept (SVCMC OB-GYN Dept)
- St Vincents Hospital and Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.