Healthcare Provider Details
I. General information
NPI: 1861321903
Provider Name (Legal Business Name): NOW PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 KING ST
CHAPPAQUA NY
10514-3460
US
IV. Provider business mailing address
115 KING ST
CHAPPAQUA NY
10514-3460
US
V. Phone/Fax
- Phone: 914-238-8384
- Fax:
- Phone: 914-238-8384
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
NOWILLO
Title or Position: DIRECTOR
Credential: DO
Phone: 914-238-8384