NPIMap

Individual provider Active NPI

Mitchell P Butin, MD

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1891771374
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
156361 Issued in NY
Practice address
1 Fordham PLZ RM 908
Bronx, NY 10458-5890
Phone
(718) 365-4044
NPI assigned
Dec 16, 2005
Last updated
Jun 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 156361 NY Primary
Geriatric Psychiatry Physician 2084P0805X 034914 CT

Addresses

Primary practice location

1 Fordham PLZ RM 908
Bronx, NY 10458-5890

Mailing address

PO Box 565
Cathedral Station
New York, NY 10025
Phone (914) 484-6513

Other identifiers 2

IdentifierTypeStateIssuer
01098746MedicaidNY
001349142MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000416 NY Practitioner - Psychiatry 5799860698 Reassigns benefits to 3 organizations
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Service Program for Older People IncGroup PAC ID 2668373135, 15 clinicians

Practice addresses (Care Compare)

302 W 91St St
New York, NY 10024-1011
Phone (212) 787-7120

Merit-based Incentive Payment System (MIPS)

Final score
16.58 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
55.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034914CTMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of New York City Inc CurrentSince Aug 1, 2015 Accepting new patients
Service Program for Older People, Inc Geriatric Psychiatry CurrentSince Nov 10, 2015 Accepting new patients
Jewish Association for Services for the Aged CurrentSince Nov 11, 2008 Accepting new patients
Westchester Jewish Community Services Inc. PastSince Apr 6, 2023 Accepting new patients
Cycare LLC Past Accepting new patients
Westchester Jewish Community Services Inc. Past Accepting new patients
Jewish Association for Services for the Aged PastSince May 25, 2025 Accepting new patients
Jewish Association for Services for the Aged Past Accepting new patients
The Center for Geriatric and Family Psychiatry, Inc. Past Accepting new patients
Service Program for Older People PastSince Nov 10, 2015 Accepting new patients
Cycare LLC PastSince Nov 20, 2011 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC Geriatric Psychiatry PastSince Dec 17, 2007 Accepting new patients

Locations

1 Fordham Plz
Rm 908
Bronx, NY 10458

910 E 172nd St
Fl 1
Bronx, NY 10460

175 Lawrence Ave
Brooklyn, NY 11230
Phone (718) 436-7600

188 W 88th St
New York, NY 10024
Phone 2127877120 ext. 139

247 W 37th St
Fl 9
New York, NY 10018
Phone (212) 273-5200

302 W 91st St
New York, NY 10024
Phone 2127877120528

302 W 91st St
Apt 2
New York, NY 10024

80 Maiden Ln
Fl 12
New York, NY 10038

Interoperability endpoints

  • Direct secure messaging: mitchell.butin.p1@direct.ucpnyc.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1891771374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "address_2": "CATHEDRAL STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "914-484-6513",
            "fax_number": "888-511-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ RM 908",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585890",
            "telephone_number": "718-365-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTIN",
        "first_name": "MITCHELL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "156361",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CT",
            "license": "034914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01098746",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349142",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.