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PSYCHIATRY ON VIDEO LLC
NPI 1700532587
Psychiatry & Neurology - Psychiatry in Ridgewood, NJ

Active since March 01, 2022
162 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450(201) 470-4006(201) 917-7871 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2023, Mar 2, 2023, Feb 10, 2023 and 1 more (4 updates tracked since 2022).

About Psychiatry On Video Llc NPPES

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

PSYCHIATRY ON VIDEO LLC (NPI 1700532587) is a healthcare organization registered as a psychiatry in Ridgewood, New Jersey and active in the NPI registry since March 2022. The organization lists Yissell Delvalle, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1700532587
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePSYCHIATRY ON VIDEO LLC
Location Address162 E RIDGEWOOD AVERidgewood, NJ 07450-3859
Mailing Address6000 Washington StWest New York, NJ 07093-1420 · (201) 490-4075 · Fax (201) 917-7871
Phone(201) 470-4006
Fax(201) 917-7871
Organization SubpartNo
Authorized OfficialYissell DelvalleMedical Director · (201) 490-4075
Enumeration DateMarch 1, 2022
Last NPPES UpdateAugust 25, 20234 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1700532587 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.
162 E RIDGEWOOD AVE, Ridgewood, NJ 07450
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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 MULTIPLE 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)

Psychiatry On Video Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Psychiatry On Video LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker4
Psychiatry3
Nurse Practitioner2
Geriatric Psychiatry1
Mental Health Counselor1

Clinicians, nearest first (11)

John Wagner, LSW
Clinical Social Worker
NPI 1649813973
53 ORCHARD ST
Clifton, NJ 07013
(973) 773-7600
✔ PECOS8.1 mi
Yissell Delvalle, MD
Psychiatry
NPI 1750585709
14 N DEAN ST
Englewood, NJ 07631
(917) 345-4273
✔ PECOS✔ Accepts Medicare10.0 mi
Ariel Almacen, APNC
Nurse Practitioner
NPI 1033257241
15 LAKE ST
Belleville, NJ 07109
(973) 723-5664
✔ PECOS✔ Accepts Medicare14 mi
Zdena Rubin, M.D.
Psychiatry
NPI 1962650770
203 W 12TH ST ROOM 450
New York, NY 10011
(212) 604-2578
✔ PECOS18 mi
Omayra Ortiz, M.D.
Geriatric Psychiatry
NPI 1124068853
10 NATHAN D PERLMAN PL FL 2 ROOM #14
New York, NY 10003
(212) 844-1912
✔ PECOS✔ Accepts Medicare19 mi
Cassandra David, LMSW
Clinical Social Worker
NPI 1629536610
6120 WOODSIDE AVE
Woodside, NY 11377
(718) 672-1705
✔ PECOS✔ Accepts Medicare20 mi
Kristina Way, AGPCNP, PMHNP-BC
Nurse Practitioner
NPI 1952020406
614 PENNSYLVANIA AVE APT 2
Elizabeth, NJ 07201
(973) 592-5750
✔ PECOS✔ Accepts Medicare21 mi
Andrea Wagner, LCSW
Clinical Social Worker
NPI 1710498068
82 ELM ST
Westfield, NJ 07090
(201) 470-4006
✔ PECOS✔ Accepts Medicare26 mi
Katherine Smith, LCSW
Clinical Social Worker
NPI 1215712229
1167 TANGLEWOOD LN
Scotch Plains, NJ 07076
(908) 451-7158
✔ PECOS✔ Accepts Medicare27 mi
Allison Macfadyen, BA, MS, LPC, ACS
Mental Health Counselor
NPI 1952420010
282 E MAIN ST
Somerville, NJ 08876
(908) 526-4100
✔ PECOS38 mi
Sana Naeem, M.D
Psychiatry
NPI 1922533165
2698 COUNTY RD 516 STE E1
Old Bridge, NJ 08857
(848) 254-5893
✔ PECOS✔ Accepts Medicare41 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 Psychiatry On Video LLC's NPI number?

The NPI number for Psychiatry On Video LLC is 1700532587. It was assigned to this organization in the NPPES registry on March 1, 2022.

Where is Psychiatry On Video LLC located?

Psychiatry On Video LLC is located at 162 E Ridgewood Ave, Ridgewood, NJ 07450. The listed phone number is (201) 470-4006.

What is Psychiatry On Video LLC's specialty?

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

Is Psychiatry On Video LLC enrolled in Medicare?

Yes. Psychiatry On Video LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychiatry On Video LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Psychiatry On Video LLC. 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 Clinical Social Worker (4), Psychiatry (3) and Nurse Practitioner (2). Of these, 2 practice 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 Psychiatry On Video LLC was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.