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SEBASTIAN ALFREDO CISNEROS TRUJILLO M.D.
NPI 1962853408
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY

Active since June 27, 2016PECOS Enrolled
622 W 168TH ST FL 4, NEW YORK, NY 10032(212) 305-9099 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sebastian Alfredo Cisneros Trujillo M.d. NPPES

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

SEBASTIAN ALFREDO CISNEROS TRUJILLO M.D. (NPI 1962853408) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (299723) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962853408
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameSEBASTIAN ALFREDO CISNEROS TRUJILLOCredential: M.D.
Location Address622 W 168TH ST FL 4New York, NY 10032-3720
Mailing Address622 W 168th St Fl 4New York, NY 10032-3720
Phone(212) 305-9099
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1962853408 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 · 299723
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
622 W 168TH ST FL 4, New York, NY 10032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sebastian Alfredo Cisneros Trujillo 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER MAKOVER PHD
Psychologist
622 W 168TH ST FL 4
NEW YORK, NY 10032
New York County (646) 522-5012
MEGHAN E MCKENZIE PH.D.
Psychologist (Clinical)
622 W 168TH ST FL 4
NEW YORK, NY 10032
New York County (917) 471-4078
YOUNG SUN JUNG NP
Nurse Practitioner (Adult Health)
622 W 168TH ST FL 4
NEW YORK, NY 10032
New York County (212) 305-2185
JOHN WILLIAM BLACKETT MD
Internal Medicine (Gastroenterology)
622 W 168TH ST FL 4
NEW YORK, NY 10032
New York County (212) 305-6354

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 Sebastian Alfredo Cisneros Trujillo's NPI number?

The NPI number for Sebastian Alfredo Cisneros Trujillo is 1962853408. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Sebastian Alfredo Cisneros Trujillo located?

Sebastian Alfredo Cisneros Trujillo practices at 622 W 168th St Fl 4, New York, NY 10032. The listed phone number is (212) 305-9099.

What is Sebastian Alfredo Cisneros Trujillo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sebastian Alfredo Cisneros Trujillo enrolled in Medicare?

Yes. Sebastian Alfredo Cisneros Trujillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sebastian Alfredo Cisneros Trujillo was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.