Organization Active NPI

Keith Sedlacek MD PC

  • Psychiatry Physician
  • New York City, NY
National Provider Identifier
1750393708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
114168 Issued in NY
Legal business name
KEITH SEDLACEK MD PC
Practice address
239 E 79TH
1 C
New York City, NY 10021
Phone
(212) 288-9309
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith W Sedlacek, MD
Title
MD
Phone
(212) 288-9309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 114168 NY Primary

Addresses

Primary practice location

239 E 79TH
1 C
New York City, NY 10021

Mailing address

239 E 79TH
1 C
New York City, NY 10021
Phone (212) 288-9309

National Provider Directory

National Provider Directory

Locations

239 E 79th St
Apt 1C
New York, NY 10075
Phone (212) 288-9309

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750393708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E 79TH",
            "address_2": "1 C",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-288-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E 79TH",
            "address_2": "1 C",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-288-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH SEDLACEK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEDLACEK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-288-9309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "114168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.