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

Mitchell Tan Cabisudo, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1801055561

Mitchell Tan Cabisudo, MD is a Psychiatry in New Windsor, New York. Qualified in 2000, 26 years ago. Practices with Vitality Physicians Group Practice PC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3125 Route 9W Ste 204
New Windsor, NY 12553-6764
Phone: (914) 502-3998
Fax: (347) 837-0337
Show map & directions

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

Additional practice locations (1)

  • 3 Pine West Plz, Albany, NY 12205-5519 — (518) 691-0732

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 257905 (NY)

Record details

NPI number1801055561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2008
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Vitality Physicians Group Practice Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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