NPIMap

Organization Active NPI

Michael Hargrove MD PLLC

  • Psychiatry Physician
  • Yorktown Heights, NY
National Provider Identifier
1720578255
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MICHAEL HARGROVE MD PLLC
Practice address
3505 Hill Blvd Ste K
Yorktown Heights, NY 10598
Phone
(914) 352-6116
Fax
(914) 352-6117
NPI assigned
May 10, 2018
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Denise Dubose Foulkes, LCSW-RNPI 1902014194
Title
Manager
Phone
(914) 352-6116

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
Psychiatry Physician 2084P0800X Primary
Child & Adolescent Psychiatry Physician 2084P0804X
Geriatric Psychiatry Physician 2084P0805X
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X

Addresses

Primary practice location

3505 Hill Blvd Ste K
Yorktown Heights, NY 10598

Mailing address

3505 Hill Blvd Ste K
Yorktown Heights, NY 10598-1210
Phone (914) 352-6116

Other names 1

  • Michael Hargrove MD PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020001581 NY Part B Supplier - Clinic/Group Practice 9537515937 Receives reassigned benefits from 12 practitioners
Practice locations: Yorktown Heights, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1720578255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD STE K",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981210",
            "telephone_number": "914-352-6116",
            "fax_number": "914-352-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD STE K",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-352-6116",
            "fax_number": "914-352-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HARGROVE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "FOULKES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "DUBOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-352-6116",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Hargrove MD PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Michael Hargrove MD PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.

Verify at the official NPI Registry.