Individual provider

Clifton Lake, MD

Psychiatric Hospital Psychiatry Physician Medicare enrolled

Clifton Lake, MD is a provider specialising in Psychiatric Hospital in Valley Stream, NY, registered under NPI 1063698330. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 46 BROOK RD, Valley Stream, NY 11581. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

46 BROOK RD, Valley Stream, NY 11581 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P60621 NY Psychiatric Hospital primary
ACN1119 FL Psychiatry Physician

Licences are recorded in 2 states: NY, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Psychiatry
PAC ID
1759534472
Enrollment ID
I20200207001491

Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and New York. The practice address on file is in Valley Stream, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
ACN1119
Specialty
Psychiatry Physician
Verify with the FL board →
NY New York practice address
Licence
P60621
Specialty
Psychiatric Hospital
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric Hospital covers

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. NUCC Health Care Provider Taxonomy, code 283Q00000X
Hospitals Psychiatric Hospital

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
283Q00000X Psychiatric Hospital P60621 NY primary
2084P0800X Psychiatry Physician Psychiatry ACN1119 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063698330 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 16, 2008
Last updatedMay 20, 2020
StatusActive
Sole proprietorYes
CredentialMD
Practice address 46 BROOK RD
Valley Stream, NY 11581
(516) 508-0128
The last update on file is May 20, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063698330 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 9 8 3 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 9 7 3 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063698330?
NPI 1063698330 is the National Provider Identifier assigned to Clifton Lake, MD in Valley Stream, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric Hospital cover?
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
How do I contact Clifton Lake, MD?
The phone number on file with NPPES is (516) 508-0128, last updated May 20, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Clifton Lake, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063698330 a valid number?
Yes. 1063698330 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.