Active NPI
Bernard Timothy Walsh, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1881746154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 120155
- Practice address
- 1051 Riverside Dr
Nyspi Unit 98
New York, NY 10032-1007 - Phone
- (646) 774-8073
- Fax
- (646) 774-5854
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 120155 | NY | Primary |
Addresses
Primary practice location
1051 Riverside Dr
Nyspi Unit 98
New York, NY 10032-1007
Mailing address
1051 Riverside Dr
Nyspi Unit 98
New York, NY 10032-1007
Phone (646) 774-8073
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120155 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1881746154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 RIVERSIDE DR",
"address_2": "NYSPI UNIT 98",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321007",
"telephone_number": "646-774-8073",
"fax_number": "646-774-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 RIVERSIDE DR",
"address_2": "NYSPI UNIT 98",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321007",
"telephone_number": "646-774-8073",
"fax_number": "646-774-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "BERNARD",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "120155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.