Provider Demographics
NPI:1679615983
Name:PREFERRED PSYCHIATRIC ASSOCIATES OF WESTCHESTER
Entity Type:Organization
Organization Name:PREFERRED PSYCHIATRIC ASSOCIATES OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-725-5959
Mailing Address - Street 1:250 E HARTSDALE AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530
Mailing Address - Country:US
Mailing Address - Phone:914-725-5959
Mailing Address - Fax:914-725-7363
Practice Address - Street 1:250 E HARTSDALE AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530
Practice Address - Country:US
Practice Address - Phone:914-725-5959
Practice Address - Fax:914-725-7363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R023678104100000X
NY1391762084P0800X
NY1392132084P0800X
NY2195532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW8D991Medicare PIN
B18582Medicare UPIN
RK64A341Medicare ID - Type UnspecifiedDR RONALD KAITZ
N19942Medicare ID - Type UnspecifiedLARRY TORRISI LCSW
69A211Medicare ID - Type Unspecified
H51414Medicare UPIN
B17387Medicare UPIN
061BC1Medicare ID - Type UnspecifiedDR STEPHEN SULLIVAN