Organization Active NPI

Webster Psychiatry & Medicine, PLLC

  • Psychiatry Physician
  • Webster, NY
National Provider Identifier
1003099474
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
225834 Issued in NY
Legal business name
WEBSTER PSYCHIATRY & MEDICINE, PLLC
Practice address
1527 Empire Blvd
Webster, NY 14580-2103
Phone
(585) 670-0507
Fax
(585) 645-0939
NPI assigned
Dec 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sahar Elezabi, MD
Title
Owner and Director
Phone
(585) 670-0507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 225834 NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 225834 NY Primary

Addresses

Primary practice location

1527 Empire Blvd
Webster, NY 14580-2103

Mailing address

1527 Empire Blvd
Webster, NY 14580-2103
Phone (585) 670-0507

National Provider Directory

National Provider Directory

Locations

1678 Empire Blvd
Ste 100
Webster, NY 14580

1630 Empire Blvd
Ste 1A
Webster, NY 14580

1674 Empire Blvd
Ste 300
Webster, NY 14580
Phone (585) 670-0507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1003099474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802103",
            "telephone_number": "585-670-0507",
            "fax_number": "585-645-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802103",
            "telephone_number": "585-670-0507",
            "fax_number": "585-645-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER PSYCHIATRY & MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ELEZABI",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "585-670-0507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225834",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "225834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.