Organization Active NPI

Dr Marianne Hendrix MD PC

  • Psychiatry Physician
  • Smithtown, NY
National Provider Identifier
1992980858
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DR MARIANNE HENDRIX MD PC
Practice address
48 Route 25a
Suite 203
Smithtown, NY 11787-1431
Phone
(631) 265-2126
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. John Willard
Title
Medical Records
Phone
(631) 265-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

48 Route 25a
Suite 203
Smithtown, NY 11787-1431

Mailing address

48 Route 25a
Suite 203
Smithtown, NY 11787-1448
Phone (631) 265-2126

National Provider Directory

National Provider Directory

Locations

555 Broadhollow Rd
Ste 203
Melville, NY 11747
Phone (516) 484-5869

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1992980858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871448",
            "telephone_number": "631-265-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-265-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARIANNE HENDRIX MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL RECORDS",
        "authorized_official_telephone_number": "631-265-2126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.