MEDICARE: MANHATTAN PSYCHIATRIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital
2	283Q00000X	Psychiatric Hospital		NY

General Provider Information

NPI Number	:	1932283876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANHATTAN PSYCHIATRIC CENTER

Provider Business Mailing Address
First Line	:	600 E 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-6000
Country	:	US
Telephone Number	:	646-672-6004
Fax Number	:	646-672-6386

Provider Business Practice Location Address
First Line	:	600 E 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-6000
Country	:	US
Telephone Number	:	646-672-6004
Fax Number	:	646-672-6386

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. JEAN PIERRE LINDENMAYER
Credential	:	M.D.
Telephone Number	:	646-672-6004

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/22/2020

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