Organization Active NPI

Therapy & Medication Treatment, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carmel, NY
National Provider Identifier
1851588495
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400499-1 Issued in NY
Legal business name
THERAPY & MEDICATION TREATMENT, PLLC
Practice address
1961 Route 6
Carmel, NY 10512-2323
Phone
(845) 225-4707
Fax
(845) 225-4719
NPI assigned
Sep 27, 2007
Last updated
Apr 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

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

Authorized official

Name
Ms. Shari Ward, NP-PSYCHIATRYNPI 1952415804
Title
President
Phone
(914) 924-7724

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400499-1 NY Primary

Addresses

Primary practice location

1961 Route 6
Carmel, NY 10512-2323

Mailing address

32 Old Farm Rd
Carmel, NY 10512-5065
Phone (914) 924-7724

Other identifiers 1

IdentifierTypeStateIssuer
01420795MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080421000031 NY Part B Supplier - Clinic/Group Practice 0042398968 Receives reassigned benefits from 1 practitioner
Practice locations: Pawling, NY

National Provider Directory

National Provider Directory

Locations

1 Memorial Ave
Pawling, NY 12564
Phone (203) 731-4387

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207958400000",
    "number": "1851588495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OLD FARM RD",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105125065",
            "telephone_number": "914-924-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122323",
            "telephone_number": "845-225-4707",
            "fax_number": "845-225-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY & MEDICATION TREATMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-04-12",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-924-7724",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-PSYCHIATRY"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400499-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.