Renita Dyal

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 S Bedford Road
Suite 340 Office 321
Mount Kisco, NY 10549

Phone

(917) 216-2869

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Midtown Practice for Psychiatry PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1689189532
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1992394753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 LOWERRE PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BEDFORD ROAD",
            "address_2": "SUITE 340 OFFICE 321",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "917-216-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 East 48th Street",
            "address_2": "Suite 1202",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10017",
            "country_code": "US",
            "telephone_number": "212-286-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYAL",
        "first_name": "RENITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 S Bedford Road",
            "address_2": "Suite 340 Office 321",
            "city": "Mount Kisco",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "spruce.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 East 48th Street",
            "address_2": "Suite 1202",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew P. Duffy, MD
• Shivaun Erin Dugan
• Patricia L Dunn
• Anisha Duvvi
• Alyssa Dweck, MD
• E-Z Chiropractic PC
• Eagle Medical Transportation LLC
• Carlyn E Earle-Murray, FNP
• Oriel Eaton, LCSW-R
• Stephen T Eble, D.C.

• Mental Health Counselor in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.