HERITAGE PSYCHIATRY SERVICES, P.C. (NPI# 1255667465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255667465 |
| Entity Type | Organization |
| Organization Name | HERITAGE PSYCHIATRY SERVICES, P.C. |
| Practice Address |
8 Independence Dr Manhasset Hills NY 11040-1023 |
| Practice Telephone | 9173591096 |
| Practice Fax Number | 5168690560 |
| Mailing Telephone | 9173591096 |
| Mailing Fax Number | 5168690560 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DR. DAVID A TRACHTENBERG (PRESIDENT) |
| Authorized Official Telephone | 9173591096 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
196342 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03162645 | 05 |
| Street Address |
8 INDEPENDENCE DR |
| City | MANHASSET HILLS |
| State | NY |
| Zip Code | 11040-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525528 | Geretha M Diamond | Nurse Practitioner | 8 Independence Dr, Manhasset Hills, NY 11040-1023 | 2011-01-17 |
| 1063422822 | David A Trachtenberg | Psychiatry & Neurology | 8 Independence Dr, Manhasset Hills, NY 11040-1023 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003380 | Johanna Cabassa | Psychiatry & Neurology | 111 E 210th St # Street1, Bronx, NY 10467-2401 | 2014-08-21 |
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
| 1295992410 | Lamberto Soriano Lopez | Psychiatry & Neurology | 28 Sherri Ln, Spring Valley, NY 10977-1300 | 2008-05-16 |
| 1982802906 | Alex Mikhelson | Psychiatry & Neurology | 690 Castleton Ave, Staten Island, NY 10310-1818 | 2007-07-11 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | MANHASSET HILLS |
| Zip Code | 11040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.