NEUROPSYCHIATRY PC – Psychiatry Physician, NPI 1407809346
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEUROPSYCHIATRY PC
25 Pompton Ave Ste 308
Verona, NJ 070442939
Phone: (608) 352-4265
Type: Location
14 EASTHAVEN LN
WHITE PLAINS, NY 106055460
Phone: (914) 933-3940
Fax: (914) 840-1281
Type: Mailing
240 Frisch Ct Ste 101
Paramus, NJ 076525249
Phone: (201) 472-5448
Type: Location
60 Essex St
Millburn, NJ 070411607
Phone: (973) 339-0742
Type: Location
25 S REGENT ST
PORT CHESTER, NY 105733512
Phone: (914) 933-3940
Fax: (914) 840-1281
Type: Location
1, Easthaven Lane, Rosedale, City of White Plains, Westchester County, New York, 10605, United States
WHITE PLAINS, NY 106055460
Phone: (845) 333-2268
Fax: (914) 517-5921
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (254 days ago).
Enrollment records
1
Earliest due date
2025-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040318001842 | O | Clinic/Group Practice | NY | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07044)
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