Organization Active NPI

Wingspan Psychiatric, LLC

  • Psychiatry Physician
  • Mount Vernon, NY
National Provider Identifier
1891067294
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
189845 Issued in NY
Legal business name
WINGSPAN PSYCHIATRIC, LLC
Practice address
138 S Columbus Ave FL 1
Mount Vernon, NY 10553-1337
Phone
(718) 701-3285
Fax
(978) 701-6001
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Francis F. Hayden II, MDNPI 1346334653
Title
Physician Sole MBR
Phone
(718) 701-3285

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 189845 NY Primary

Addresses

Primary practice location

138 S Columbus Ave FL 1
Mount Vernon, NY 10553-1337

Mailing address

101 Ellwood Ave Apt 4a
Mount Vernon, NY 10552-3428
Phone (718) 701-3285

Other identifiers 2

IdentifierTypeStateIssuer
01550792MedicaidNY
03438319MedicaidNY

Other names 1

  • Francis Hayden, M.D. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address francis.hayden@wpllc.eclinicaldirectplus.com Direct eClinicalWorks LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000095 NY Part B Supplier - Clinic/Group Practice 6507020450 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, NY

National Provider Directory

National Provider Directory
Tax ID family
Wingspan Psychiatric LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

466 Main St
New Rochelle, NY 10801
Phone (914) 632-2500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1891067294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ELLWOOD AVE APT 4A",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523428",
            "telephone_number": "718-701-3285",
            "fax_number": "978-701-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S COLUMBUS AVE FL 1",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531337",
            "telephone_number": "718-701-3285",
            "fax_number": "978-701-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGSPAN PSYCHIATRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN SOLE MBR",
        "authorized_official_telephone_number": "718-701-3285",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "189845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01550792",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03438319",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "francis.hayden@wpllc.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "Eclinicalworks direct address",
            "affiliationName": "eClinicalWorks LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "138 S Columbus Ave Fl 1",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105531337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Francis Hayden, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Francis Hayden, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.