Individual provider Active NPI

Patricia M Al-Adsani, MD

  • Child & Adolescent Psychiatry Physician
  • Windsor, CO
National Provider Identifier
1033200571
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
50327 Issued in CO
Practice address
8360 White Owl CT
Windsor, CO 80550-8051
Phone
(970) 674-3153
Fax
(970) 336-5000
NPI assigned
Sep 28, 2006
Last updated
Nov 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 31456 IA
Child & Adolescent Psychiatry Physician 2084P0804X 04-24359 KS
Child & Adolescent Psychiatry Physician 2084P0804X 31456 IA
Child & Adolescent Psychiatry Physician 2084P0804X 50327 CO Primary

Addresses

Primary practice location

8360 White Owl CT
Windsor, CO 80550-8051

Mailing address

8360 White Owl CT
Windsor, CO 80550-8051
Phone (970) 674-3153

Other identifiers 2

IdentifierTypeStateIssuer
0249649MedicaidIA
100128760BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20220804000064 VA Practitioner - Psychiatry 4385606953 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31456IAMDPsychiatry Physician
50327COMDChild & Adolescent Psychiatry Physician
04-24359KSMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC CurrentSince Jul 1, 2022 Accepting new patients
Psychiatry Associates of Kansas City PA Psychiatry PastSince Nov 1, 1990 Accepting new patients
Psychpros of Kansas City PastSince Feb 4, 2024 Accepting new patients

Locations

680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

1181 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 425-1600

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-2754

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1033200571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 WHITE OWL CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805508051",
            "telephone_number": "970-674-3153",
            "fax_number": "970-336-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 WHITE OWL CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805508051",
            "telephone_number": "970-674-3153",
            "fax_number": "970-336-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ADSANI",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "31456",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KS",
            "license": "04-24359",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "31456",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "50327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249649",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100128760B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.