Active NPI
James Herivaux, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 194186
- Practice address
- 416 E 76TH St
4TH Floor
New York, NY 10021-3104 - Phone
- (212) 434-5393
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 194186 | NY | Primary |
Addresses
Primary practice location
416 E 76TH St
4TH Floor
New York, NY 10021-3104
Mailing address
416 E 76TH St
4TH Floor
New York, NY 10021-3104
Phone (212) 434-5393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01890775 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2857 Linden Blvd
Brooklyn, NY 11208-5126
Phone (718) 235-3100
579 Courtlandt Ave
Bronx, NY 10451-5013
Phone (718) 485-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| Institute for the Puerto Rican Hispanic Elderly Inc. | Past | Accepting new patients | |
| Service Program for Older People, Inc | Past | Accepting new patients | |
| Under Angel'S Wings Recovery Center, LLC | Past | Accepting new patients | |
| Welllife Network Inc | Past | Accepting new patients | |
| Park Slope Center for Mental Health, Inc | Past | Accepting new patients | |
| Service Program for Older People | Past | Accepting new patients | |
| Welllife Network Inc. | Past | Accepting new patients | |
| Samuel Field Ym&Ywha | Past | Accepting new patients | |
| East Side Medical and Diagnostics Services, PC | Psychiatry | Past | Accepting new patients |
Locations
102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000
2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100
17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100
Organizations & group practices 10
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.
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
-
- Internal Medicine Physician
- New York, NY
- NPI 1396782637
Psychiatry
-
- Clinical Social Worker
- Jackson Heights, NY
- NPI 1093800211
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1851382188
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831644657
-
- Geriatric Psychiatry Physician
- New York, NY
- NPI 1740211143
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1861100646
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1891711172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E 76TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213104",
"telephone_number": "212-434-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E 76TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213104",
"telephone_number": "212-434-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERIVAUX",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "194186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01890775",
"state": "NY"
}
],
"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 Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.