PHELPS MEMORIAL HOSPITAL (NPI# 1366786972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366786972 |
| Entity Type | Organization |
| Organization Name | PHELPS MEMORIAL HOSPITAL |
| Other Organization Name | PHELPS PROFESSIONAL SERVICE |
| Practice Address |
701 N Broadway Sleepy Hollow NY 10591-1020 |
| Mailing Address |
155 White Plains Rd Suite 210a Tarrytown NY 10591-5523 |
| Practice Telephone | 9143663000 |
| Mailing Telephone | 9142691763 |
| Mailing Fax Number | 9145247985 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | MR. DANIEL BLUM (SENIOR VP) |
| Authorized Official Telephone | 9143661000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Phelps Professional Service | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346691003 | Phelps Memorial Hospital | General Acute Care Hospital | 400 Saint Nicholas Ave, Apt.7m, New York, NY 10027-7620 | 2016-06-23 |
| 1245583921 | Phelps Memorial Hospital | General Acute Care Hospital | 777 N Broadway, Suite 303, Sleepy Hollow, NY 10591-1000 | 2012-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHELPS MEMORIAL HOSPITAL CENTER | 701 N Broadway, Sleepy Hollow, NY 10591-1096 |
| Street Address |
701 N BROADWAY |
| City | SLEEPY HOLLOW |
| State | NY |
| Zip Code | 10591-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250287 | Mary Elizabeth Damore | Pediatrics | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2005-07-22 |
| 1326660887 | Yvonne Liang | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1096 | 2020-05-07 |
| 1518588920 | Melina Cherian Pooppallil | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-04-27 |
| 1972130409 | Peter Rasmussen | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1851928220 | Amir Michael Razani | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1124655758 | Jing Xiao | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-24 |
| 1801423793 | Justen Luis Molina | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-23 |
| 1700412640 | Aditi Gupta | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1477189405 | Rachel Graham | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1346876604 | Arlyn Eucaris Fraim | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578806261 | Craig Warren Walters | Psychiatry & Neurology | 126 Valley Street 1e, Sleepy Hollow, NY 10591 | 2013-04-01 |
| 1821295908 | Michael Silver | Psychiatry & Neurology | 2 Westview Cir, Sleepy Hollow, NY 10591-2122 | 2007-07-02 |
| 1790903185 | Kaia Marie Heimarck | Psychiatry & Neurology | 245 N Broadway, Suite 110, Sleepy Hollow, NY 10591-2670 | 2007-04-23 |
| 1215073218 | Craig S Rogers | Psychiatry & Neurology | 245 N Broadway, Sleepy Hollow, NY 10591-2670 | 2007-01-29 |
| 1295888238 | Lynn Geringer Heckman | Psychiatry & Neurology | 239 N Broadway, Sleepy Hollow, NY 10591-2674 | 2007-01-21 |
| 1588715551 | Steven Bogen | Psychiatry & Neurology | 701 N Broadway, Sleepy Hollow, NY 10591-1096 | 2007-01-16 |
| 1073663795 | Ruth Held Martin | Psychiatry & Neurology | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2007-01-12 |
| 1386709038 | Maury Eli Sacks | Psychiatry & Neurology | 755 N Broadway, Suite 420, Sleepy Hollow, NY 10591-1075 | 2006-12-23 |
| 1518020247 | Bonita G Chapman | Psychiatry & Neurology | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2006-12-17 |
| 1235290032 | Gale Organist | Psychiatry & Neurology | 239 N Broadway, Sleepy Hollow, NY 10591-2674 | 2006-12-13 |
| Find all providers in SLEEPY HOLLOW | ||||
| City | SLEEPY HOLLOW |
| Zip Code | 10591 |
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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.