Organization Active NPI

Manhattan Psychiatric Service PLLC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1891978409
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
213498 Issued in NY
Legal business name
MANHATTAN PSYCHIATRIC SERVICE PLLC
Practice address
353 Fort Washington Avenue
Suite 1B
New York, NY 10033
Phone
(212) 928-0014
Fax
(212) 928-0017
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Christian Rene Gonzalez, MD
Title
Presidente
Phone
(212) 928-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 213498 NY Primary

Addresses

Primary practice location

353 Fort Washington Avenue
Suite 1B
New York, NY 10033

Mailing address

353 Fort Washington Avenue
Suite 1B
New York, NY 10033
Phone (212) 928-0014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1891978409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FORT WASHINGTON AVENUE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-928-0014",
            "fax_number": "212-928-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FORT WASHINGTON AVENUE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-928-0014",
            "fax_number": "212-928-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PSYCHIATRIC SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "212-928-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "213498",
            "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 Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.