Organization Active NPI

Central Park South Psychiatry

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1902252554
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
251792 Issued in NY
Legal business name
CENTRAL PARK SOUTH PSYCHIATRY
Practice address
30 Central Park S RM 11a
New York, NY 10019-1647
Phone
(646) 495-8936
Fax
(646) 495-9836
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Dr. Christopher Conti, MD
Title
Owner
Phone
(202) 413-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 251792 NY Primary

Addresses

Primary practice location

30 Central Park S RM 11a
New York, NY 10019-1647

Mailing address

30 Central Park S RM 11a
New York, NY 10019-1647
Phone (646) 495-8936

Other identifiers 1

IdentifierTypeStateIssuer
03398836MedicaidNY

National Provider Directory

National Provider Directory

Locations

30 Central Park S
Rm 11A
New York, NY 10019
Phone (212) 223-8085

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1902252554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191647",
            "telephone_number": "646-495-8936",
            "fax_number": "646-495-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191647",
            "telephone_number": "646-495-8936",
            "fax_number": "646-495-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK SOUTH PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-413-1212",
        "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": "251792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03398836",
            "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 May 12, 2016; 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.