Individual provider Active NPI

Paolo Bautista Travers, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1992892418
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
201784 Issued in NY
Practice address
201 E 28TH St # 6R
New York, NY 10016-8538
Phone
(917) 667-5451
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 201784 NY Primary

Addresses

Primary practice location

201 E 28TH St # 6R
New York, NY 10016-8538

Mailing address

201 E 28TH St # 6R
New York, NY 10016-8538
Phone (917) 667-5451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050218000214 NY Practitioner - Psychiatry 5294787115 Reassigns benefits to 6 organizations
I20250220002014 CA Practitioner - Psychiatry 5294787115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

2311 Loveridge Rd
Pittsburg, CA 94565-5117
Phone (877) 905-4545

Hospital & facility affiliations

  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201784NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Project Renewal Inc CurrentSince Nov 1, 2022 Accepting new patients
Greenwich House Inc CurrentSince Sep 17, 2019 Accepting new patients
Premier Healthcare, Inc. CurrentSince Mar 15, 2019 Accepting new patients
The Fortune Society Inc. CurrentSince Oct 8, 2016 Accepting new patients
Valera Medical, P.C. Psychiatry CurrentSince Aug 8, 2022 Accepting new patients
Contra Costa County CurrentSince Jan 6, 2025 Accepting new patients
Project Renewal Inc CurrentSince Nov 1, 2022 Accepting new patients
Contra Costa County CurrentSince Jan 6, 2025 Accepting new patients
Premier Healthcare, Inc. CurrentSince Mar 15, 2019 Accepting new patients
The Mental Health Association of New York City, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Contra Costa County Current Accepting new patients
Wihd Inc CurrentSince Mar 1, 2012 Accepting new patients
Harlem Bay Network Pros PastSince Feb 1, 2018 Accepting new patients

Locations

2311 Loveridge Rd
Pittsburg, CA 94565
Phone (800) 495-8885

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

175 Remsen St
Ste 900
Brooklyn, NY 11201
Phone (718) 858-6631

134 N 4th St
Brooklyn, NY 11249

2976 Northern Blvd
Fl 2
Long Island City, NY 11101
Phone (212) 691-7554

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

116 E 124th St
Fl 3
New York, NY 10035
Phone (212) 876-6083

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

50 Broadway
Fl 19
New York, NY 10004
Phone (212) 254-0333

200 Varick St
Fl 9
New York, NY 10014
Phone (212) 620-0340

122 W 27th St
Fl 6
New York, NY 10001
Phone (212) 691-2900

Interoperability endpoints

  • Direct secure messaging: paolo.travers.p1@direct.premierhealthcare.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1992892418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 28TH ST # 6R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168538",
            "telephone_number": "917-667-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 28TH ST # 6R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168538",
            "telephone_number": "917-667-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "PAOLO",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "201784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.