JOSEPH E CHRUSCICKI M.D. - NPI 1609879410 - Psychiatry & Neurology in Pittsford, NY

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

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About Joseph E Chruscicki M.d. NPPES

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

JOSEPH E CHRUSCICKI M.D. (NPI 1609879410) is an individual child & adolescent psychiatry provider in Pittsford, New York, licensed in New York (215576) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609879410

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameJOSEPH E CHRUSCICKICredential: M.D.

Location Address141 SULLYS TRL, STE 5BPittsford, NY 14534-4563

Mailing Address141 Sullys Trl, Ste 5bPittsford, NY 14534-4563 · (585) 368-6550 · Fax (585) 368-6540

Phone(585) 368-6550

Fax(585) 368-6540

Sole ProprietorNo

Enumeration DateMay 24, 2005

Last NPPES UpdateMarch 19, 2020

NPPES CertifiedMarch 19, 2020

✔ NPI 1609879410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 215576

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 215576 (NY)

141 SULLYS TRL, Pittsford, NY 14534

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Other Identifiers 4

Other10989059NY · Caqh

Other000528054001NY · Health Integrated

Other1512813NY · Independent Health

Other00027056901NY · Univera

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph E Chruscicki M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.