NPIMap

Organization Active NPI

Psychiatric Services of Central New York

  • Psychiatry Physician
  • Utica, NY
National Provider Identifier
1831157775
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
209158 Issued in NY
Legal business name
PSYCHIATRIC SERVICES OF CENTRAL NEW YORK
Practice address
502 Court St
Suite 204
Utica, NY 13502-4233
Phone
(315) 792-7626
Fax
(315) 792-7675
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Elizabeth A Farnum, MD
Title
President
Phone
(315) 792-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 209158 NY Primary

Addresses

Primary practice location

502 Court St
Suite 204
Utica, NY 13502-4233

Mailing address

502 Court St
Suite 204
Utica, NY 13502-4233
Phone (315) 792-7626

National Provider Directory

National Provider Directory

Locations

502 Court St
Ste 204
Utica, NY 13502
Phone (315) 792-7626

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1831157775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "address_2": "SUITE 204",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-792-7626",
            "fax_number": "315-792-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "address_2": "SUITE 204",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-792-7626",
            "fax_number": "315-792-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES OF CENTRAL NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "FARNUM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-792-7626",
        "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": "209158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.