NPIMap

Organization Active NPI

Skypiatrist Psychiatry, PLLC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1770033581
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SKYPIATRIST PSYCHIATRY, PLLC
Practice address
169 Wythe Ave Apt 104
Brooklyn, NY 11249-3102
Phone
(844) 384-2779
Fax
(303) 942-6679
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Sandip P Buch, MDNPI 1558572461
Title
Sole Member
Phone
(312) 446-0004

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 1

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

Addresses

Primary practice location

169 Wythe Ave Apt 104
Brooklyn, NY 11249-3102

Mailing address

95 Eastern Pkwy
Apt. 3E
Brooklyn, NY 11238-5935
Phone (844) 384-2779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170731002155 NY Part B Supplier - Clinic/Group Practice 0345511929 Receives reassigned benefits from 5 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

109 N 12th St
Ste 704
Brooklyn, NY 11249
Phone (347) 378-3144

34 3rd Ave
#171
New York, NY 10003
Phone (844) 384-2779

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1770033581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 EASTERN PKWY",
            "address_2": "APT. 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385935",
            "telephone_number": "844-384-2779",
            "fax_number": "303-942-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WYTHE AVE APT 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493102",
            "telephone_number": "844-384-2779",
            "fax_number": "303-942-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYPIATRIST PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BUCH",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "312-446-0004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.