Charisse Colvin MD, Psychiatrist PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHARISSE COLVIN MD, PSYCHIATRIST PLLC

Practice address

827 State Route 82
Suite 10-175
Hopewell Junction, NY 12533

Phone

(203) 654-9001

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mahboob Hussain

Title

Accountant

Phone

(203) 695-6129

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1972186559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 STATE ROUTE 82",
            "address_2": "SUITE 10-175",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "203-654-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 STATE ROUTE 82",
            "address_2": "SUITE 10-175",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "203-654-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISSE COLVIN MD, PSYCHIATRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MAHBOOB",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "203-695-6129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TBD",
            "affiliation": "N",
            "endpointDescription": "to be determined",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "to be determined",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "to be determined",
            "address_1": "827 NY-82",
            "address_2": "Suite 10-175",
            "city": "Hopewell Junction",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.