Celeste Spencer-Holmes, MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

202776 Issued in NY

Legal business name

CELESTE SPENCER-HOLMES, MD PC

Practice address

400 Sunrise Hwy
Amityville, NY 11701-2508

Phone

(631) 608-5204

Fax

(631) 608-4112

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Celeste Spencer-Holmes

Title

Owner

Phone

(631) 608-5204

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1932509700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-608-5204",
            "fax_number": "631-608-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-608-5204",
            "fax_number": "631-608-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE SPENCER-HOLMES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "SPENCER-HOLMES",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-608-5204"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "202776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01871512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sasha Daniel Cekada, DDS
• Judy Celestin
• Michelle Celestrin, LMSW
• Jefferson Junior Celus Cesar, NP
• CG&D Alcoholism and Addiction Services, Inc.
• Deanna H Chaffey, RPH

• Psychiatry Physician in Amityville, NY
• Providers in Amityville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.