Mind Path Medical PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIND PATH MEDICAL PLLC

Practice address

200 S Service Rd Ste 101
Roslyn Heights, NY 11577-2133

Phone

(516) 340-0340

Fax

(858) 769-1571

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Saad Khan, DONPI 1528400397

Title

Manager

Phone

(515) 340-0340

Specialties & licenses 2

Addresses

Practitioners 1

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

• Saad Khan, D.O

  • Psychosomatic Medicine Physician
  • Latham, NY
  • NPI 1528400397
  NPD Authorized official

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1003551722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WOODLAKE DR W",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 101",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772133",
            "telephone_number": "516-340-0340",
            "fax_number": "858-769-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND PATH MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-340-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Politi DO PC
• Maria Michael
• Michal F Rosenthal
• Milestone Meadow Therapy Services PLLC
• Lawrence N Milner, MD
• Pegah Moosazadeh
• Neil Y Morgenstern, MD
• Devyn Morin, FNP
• Joel M Moskowitz, M.D.
• David Mushayev, MD

• Community/Behavioral Health Agency in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.