SOUTHERN TIER PSYCHIATRY PLLC
NPI 1083466353
Psychiatry & Neurology - Psychiatry in Vestal, NY

Active since April 02, 2024
1500 VESTAL PKWY E STE 102, VESTAL, NY 13850(315) 403-4271 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Tier Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN TIER PSYCHIATRY PLLC (NPI 1083466353) is a healthcare organization registered as a psychiatry in Vestal, New York and active in the NPI registry since April 2024. The organization lists Viral Goradia, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1083466353
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOUTHERN TIER PSYCHIATRY PLLC
Location Address1500 VESTAL PKWY E STE 102Vestal, NY 13850-1831
Mailing Address3439, Vestal Parkway E, Ste 2, Num 197Vestal, NY 13850
Organization SubpartNo
Authorized OfficialViral GoradiaPsychiatrist · (315) 403-4271
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1083466353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
1500 VESTAL PKWY E STE 102, Vestal, NY 13850

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Tier Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Tier Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1306687314
1500 VESTAL PKWY E
Vestal, NY 13850
(604) 786-0435
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770192163
1500 VESTAL PKWY E
Vestal, NY 13850
(607) 786-0435
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366284515
1901 VESTAL PKWY E STE 2W
Vestal, NY 13850
(607) 341-4950
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1811505464
10-42 MITCHELL AVE
Binghamton, NY 13903
(607) 762-2990
✔ PECOS✔ Accepts Medicare5.8 mi
Psychiatry
NPI 1548658545
10-42 MITCHELL AVE
Binghamton, NY 13903
(607) 762-2990
✔ PECOS✔ Accepts Medicare5.8 mi
Psychiatry
NPI 1083902399
1042 MITCHELL AVE # 42
Binghamton, NY 13903
(607) 762-2990
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1386420644
33 MITCHELL AVE
Binghamton, NY 13903
(607) 762-2340
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1598223174
275 CHENANGO ST
Binghamton, NY 13901
(607) 201-1204
✔ PECOS✔ Accepts Medicare6.4 mi
Psychiatry
NPI 1871880989
713 HARRISON ST
Syracuse, NY 13210
(315) 247-2447
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Tier Psychiatry PLLC's NPI number?

The NPI number for Southern Tier Psychiatry PLLC is 1083466353. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Southern Tier Psychiatry PLLC located?

Southern Tier Psychiatry PLLC is located at 1500 Vestal Pkwy E Ste 102, Vestal, NY 13850. The listed phone number is (315) 403-4271.

What is Southern Tier Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Southern Tier Psychiatry PLLC enrolled in Medicare?

Yes. Southern Tier Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Tier Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Tier Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Psychiatry (4). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Tier Psychiatry PLLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.