Individual provider Active NPI

Beryle Lee Vananda, MD

  • Psychiatry Physician
  • Amsterdam, NY
National Provider Identifier
1982862363
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
261088 Issued in NY
Practice address
427 Guy Park Avenue
Behavioral Health
Amsterdam, NY 12010-1054
Phone
(518) 841-7360
Fax
(518) 770-7536
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 149725 NC
Psychiatry Physician 2084P0800X 261088 NY Primary

Addresses

Primary practice location

427 Guy Park Avenue
Behavioral Health
Amsterdam, NY 12010-1054

Mailing address

427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 841-7360

Other practice location 1

184 Court St
Binghamton, NY 13901-3515
Phone (607) 584-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000005 NY Practitioner - Psychiatry 3274785076 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of Lourdes Memorial Hospital IncGroup PAC ID 1254237779, shared by 10 NPIs, 249 clinicians

Practice addresses (Care Compare)

184 Court St
Binghamton, NY 13901-3515
Phone (607) 584-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261088NYMDPsychiatry Physician
149725NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince May 9, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 9, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 15, 2018 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 15, 2018 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

184 Court St
Binghamton, NY 13901
Phone (607) 584-4465

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: bvananda196626@direct-guthrie.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1982862363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101064",
            "telephone_number": "518-841-7360",
            "fax_number": "518-770-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVENUE",
            "address_2": "BEHAVIORAL HEALTH",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101054",
            "telephone_number": "518-841-7360",
            "fax_number": "518-770-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Court St",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139013515",
            "country_code": "US",
            "telephone_number": "607-584-4465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANANDA",
        "first_name": "BERYLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "149725",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "261088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.