Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Psychiatric Services PC

Organization Psychiatry Physician · NPI 1417902065

Professional Psychiatric Services PC is a Psychiatry Physician in Derby, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6722 Erie Rd
Derby, NY 14047-9670
Phone: (716) 947-2097
Fax: (716) 947-5909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 188585 (NY)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 188585 (NY)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 188585 (NY)

Record details

NPI number1417902065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Racaniello — President · (716) 947-2097
NPI enumeratedMay 23, 2006
Last updated in NPPESOctober 16, 2012
Mailing address6722 Erie Rd, Po Box 803, Derby, NY 14047-9670

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