Manouchehr Lavian, MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

163228 Issued in NY

Practice address

129 Wickham Ave
Middletown, NY 10940-3714

Phone

(845) 341-1805

Fax

(845) 342-9218

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Garnet Health Doctors PCGroup PAC ID 8628293545, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score

87.1 of 100Reported as group

Quality

61

Promoting interoperability

100

Improvement activities

40

Cost

72.76

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: mlavian3519@direct.garnethealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garnet Health Doctors PC

  • General Practice Physician
  • Middletown, NY
  • NPI 1093138851
  Medicare reassignment Care Compare group NPD
• M Lavian MD LLC

  • Psychiatry Physician
  • Middletown, NY
  • NPI 1114282274
  Medicare reassignment NPD Authorized official
• Garnet Health Doctors PC

  • General Practice Physician
  • Harris, NY
  • NPI 1164845699
  NPD
• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976
  NPD (past)
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013922491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403714",
            "telephone_number": "845-341-1805",
            "fax_number": "845-342-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WICKHAM AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403714",
            "telephone_number": "845-341-1805",
            "fax_number": "845-342-9218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-2260",
            "fax_number": "845-333-2245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Crystal Run Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109417009",
            "country_code": "US",
            "telephone_number": "845-333-7800",
            "fax_number": "845-333-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIAN",
        "first_name": "MANOUCHEHR",
        "name_prefix": "Dr.",
        "credential": "MD LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998527",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlavian3519@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "address_1": "75 Crystal Run Rd Ste 135",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109417009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Latour, OTR/L
• Chui Lau, PHARMD
• Tien K Lau, D.O.
• Laura Sue Nizewitz
• Johanna Lauriano
• Christopher K Lawla, MA CCC-SLP
• Karinna Lawla, MS SPED
• Patricia Lawler, SLP
• Lawrence Hearing, LLC
• Matthew Regis Lawrence, PA

• Psychiatry Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.