Organization Active NPI

Cnypsychiatry

  • Psychiatry Physician
  • Marcellus, NY
National Provider Identifier
1972135416
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CNYPSYCHIATRY
Practice address
1/2 Orange St Ste 2
Marcellus, NY 13108-1216
Phone
(315) 671-2140
NPI assigned
Feb 12, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Jason Stepkovitch, MDNPI 1730227315
Title
Psychiatrist
Phone
(315) 671-2140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1/2 Orange St Ste 2
Marcellus, NY 13108-1216

Mailing address

1/2 Orange St Ste 2
Marcellus, NY 13108-1216
Phone (315) 671-2140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220722000451 NY Part B Supplier - Clinic/Group Practice 6103207105 Receives reassigned benefits from 4 practitioners
Practice locations: Endwell, NY; Marcellus, NY

National Provider Directory

National Provider Directory

Locations

3401 E Main St
Ste 1
Endwell, NY 13760
Phone (315) 671-2140

12 Orange St
Ste 2
Marcellus, NY 13108
Phone (315) 671-2140

31 E Main St
Marcellus, NY 13108
Phone (315) 671-2140

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1972135416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1/2 ORANGE ST STE 2",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081216",
            "telephone_number": "315-671-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1/2 ORANGE ST STE 2",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081216",
            "telephone_number": "315-671-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNYPSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "STEPKOVITCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "315-671-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcellus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.