Organization Active NPI

Williamsville Psychiatry, PLLC

  • Psychiatry Physician
  • Williamsville, NY
National Provider Identifier
1043647555
Registry record updated Sep 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
169860 Issued in NY
Legal business name
WILLIAMSVILLE PSYCHIATRY, PLLC
Practice address
1825 Maple Rd
Suite 200
Williamsville, NY 14221-2723
Phone
(716) 886-5493
NPI assigned
Sep 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2013

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

Authorized official

Name
Dr. Junaid Hashim, M.D.
Title
Owner
Phone
(716) 886-5493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 169860 NY Primary

Addresses

Primary practice location

1825 Maple Rd
Suite 200
Williamsville, NY 14221-2723

Mailing address

1825 Maple Rd
Suite 200
Williamsville, NY 14221-2723

Other identifiers 1

IdentifierTypeStateIssuer
01521333MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380326400000",
    "number": "1043647555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MAPLE RD",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MAPLE RD",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212723",
            "telephone_number": "716-886-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSVILLE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-28",
        "last_updated": "2013-09-28",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-886-5493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "169860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; 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.