Individual provider Active NPI

Mihai Dascalu, M.D.

  • Psychiatry Physician
  • Watkins Glen, NY
National Provider Identifier
1811935372
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
246855 Issued in NY
Practice address
106 S Perry St
Ste 4
Watkins Glen, NY 14891-1615
Phone
(607) 535-8282
Fax
(607) 535-8284
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 246855 NY Primary

Addresses

Primary practice location

106 S Perry St
Ste 4
Watkins Glen, NY 14891-1615

Mailing address

802 N Decatur St
Watkins Glen, NY 14891-1310

Other identifiers 1

IdentifierTypeStateIssuer
060246855LIMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Social Work and Counseling Services of the Finger Lakes PastSince Aug 1, 1992 Accepting new patients
Schuyler County Mental Health PastSince Oct 1, 1992 Accepting new patients
Schuyler County Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1811935372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N DECATUR ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST",
            "address_2": "STE 4",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911615",
            "telephone_number": "607-535-8282",
            "fax_number": "607-535-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASCALU",
        "first_name": "MIHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "246855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060246855LI",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkins Glen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.