Active NPI
Houshang Shahim, M.D.
- Psychiatry Physician
- Valhalla, NY
National Provider Identifier
1063636637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 161855
- Practice address
- 20 Plaza West
Cedarwood Hall
Valhalla, NY 10595-1681 - Phone
- (914) 493-8155
- Fax
- (914) 493-1973
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 161855 | NY | Primary |
Addresses
Primary practice location
20 Plaza West
Cedarwood Hall
Valhalla, NY 10595-1681
Mailing address
505 E 79TH St
Apt 14M
New York, NY 10075-0709
Phone (914) 493-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02357817 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161855 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc Westchester County Chapter | Past | Accepting new patients | |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Hawthorne, NY
- NPI 1780898643
-
dba Taylor Care Center at Westchester
- Skilled Nursing Facility
- Hawthorne, NY
- NPI 1487735072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1063636637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E 79TH ST",
"address_2": "APT 14M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750709",
"telephone_number": "914-493-8155",
"fax_number": "914-493-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PLAZA WEST",
"address_2": "CEDARWOOD HALL",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951681",
"telephone_number": "914-493-8155",
"fax_number": "914-493-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHIM",
"first_name": "HOUSHANG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "161855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02357817",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.