Active NPI
Central Park Wellness Center LLC.
- Psychiatry Physician
- Scarsdale, NY
National Provider Identifier
1750678330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 228745
- Legal business name
- CENTRAL PARK WELLNESS CENTER LLC.
- Practice address
- 1075 Central Park Ave
307
Scarsdale, NY 10583-3242 - Phone
- (914) 874-5521
- NPI assigned
- Jul 5, 2011
- 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
- Carolyn Stiman, LCSW
- Title
- Member
- Phone
- (914) 874-5521
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 076063-1 | NY | |
| Psychiatry Physician | 2084P0800X | 228745 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 228923 | NY |
Addresses
Primary practice location
1075 Central Park Ave
307
Scarsdale, NY 10583-3242
Mailing address
1075 Central Park Ave
307
Scarsdale, NY 10583-3242
Phone (914) 874-5521
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319760000000",
"number": "1750678330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 CENTRAL PARK AVE",
"address_2": "307",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833242",
"telephone_number": "914-874-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 CENTRAL PARK AVE",
"address_2": "307",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833242",
"telephone_number": "914-874-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PARK WELLNESS CENTER LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-05",
"last_updated": "2011-10-28",
"status": "A",
"authorized_official_last_name": "STIMAN",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "914-874-5521",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076063-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "228745",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "228923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.