Individual provider Active NPI

Sheeba Rahman, MD

  • Psychiatry Physician
  • Alpharetta, GA
National Provider Identifier
1023285848
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
78564 Issued in GA
Practice address
3300 Old Milton Pkwy Ste 175
Alpharetta, GA 30005-2423
Phone
(470) 568-2010
Fax
(470) 880-5466
NPI assigned
May 12, 2008
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33061 GA
Psychiatry Physician 2084P0800X ME128485 FL
Psychiatry Physician 2084P0800X 265080-1 NY
Psychiatry Physician 2084P0800X C159110 CA
Psychiatry Physician 2084P0800X 59541 MN
Student in an Organized Health Care Education/Training Program 390200000X C70003986 DE
Psychiatry Physician 2084P0800X 78564 GA Primary

Addresses

Primary practice location

3300 Old Milton Pkwy Ste 175
Alpharetta, GA 30005-2423

Mailing address

301 East Main Street
Bay Shore, NY 11706
Phone (302) 255-2707

Other practice location 1

7200 Bancroft Ave
Oakland, CA 94605-2403
Phone (510) 777-3800

Other practice location 2

101 Dehler Drive
Sartell, MN 56377-2133
Phone (320) 253-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WV, FL, CA, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120820000218 NY Practitioner - Psychiatry 7214183680 Reassigns benefits to 2 organizations
I20160729001428 WV Practitioner - Psychiatry 7214183680
I20180709003259 FL Practitioner - Psychiatry 7214183680
I20190313002125 CA Practitioner - Psychiatry 7214183680 Reassigns benefits to 1 organization
I20220404000083 GA Practitioner - Psychiatry 7214183680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C159110CAMDPsychiatry Physician
33061GAMDPsychiatry Physician
59541MNMDPsychiatry Physician
265080-1NYMDPsychiatry Physician
C70003986DEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Alameda County CurrentSince Dec 24, 2018 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Family Support Services Inc. PastSince May 30, 2023 Accepting new patients
County of Alameda Past Accepting new patients

Locations

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

3300 Old Milton Pkwy
Ste 175
Alpharetta, GA 30005
Phone (470) 568-2010

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

300 Community Dr
Manhasset, NY 11030

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.sheebarahman@124220.advancedmd-direct.com
  • Direct secure messaging: telemed2u.sheebarahman@160918.advancedmd-direct.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1023285848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "302-255-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OLD MILTON PKWY STE 175",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052423",
            "telephone_number": "470-568-2010",
            "fax_number": "470-880-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Bancroft Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946052403",
            "country_code": "US",
            "telephone_number": "510-777-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dehler Drive",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563772133",
            "country_code": "US",
            "telephone_number": "320-253-3512",
            "fax_number": "320-253-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHEEBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "33061",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME128485",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "265080-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C159110",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "59541",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DE",
            "license": "C70003986",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "78564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.