NPIMap

Organization Active NPI

Southern Dutchess Psychiatric Consultation PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Wappingers Falls, NY
National Provider Identifier
1982021440
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
A208505-1 Issued in NY
Legal business name
SOUTHERN DUTCHESS PSYCHIATRIC CONSULTATION PLLC
Practice address
1285 Route 9
Suite #7
Wappingers Falls, NY 12590-4993
Phone
(845) 632-2939
Fax
(845) 632-2940
NPI assigned
Mar 23, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mr. Pe-Shein Wynn, MD
Title
Owner
Phone
(800) 750-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A208505-1 NY Primary

Addresses

Primary practice location

1285 Route 9
Suite #7
Wappingers Falls, NY 12590-4993

Mailing address

26 Firemens Memorial Dr
115
Pomona, NY 10970-3553
Phone (800) 750-8616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1395532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1982021440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR",
            "address_2": "115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553",
            "telephone_number": "800-750-8616",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "SUITE #7",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "845-632-2939",
            "fax_number": "845-632-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DUTCHESS PSYCHIATRIC CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-23",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "PE-SHEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-750-8616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "A208505-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.