Active NPI
Tanveer Ahmed, MD
- Psychiatry Physician
- Great Barrington, MA
National Provider Identifier
1073750840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 274898
- Practice address
- 121 Hollenbeck Ave
Great Barrington, MA 01230-1012 - Phone
- (646) 678-2458
- Fax
- (413) 645-1022
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 235002 | NY | |
| Psychiatry Physician | 2084P0800X | 274898 | MA | Primary |
Addresses
Primary practice location
121 Hollenbeck Ave
Great Barrington, MA 01230-1012
Mailing address
121 Hollenbeck Ave
Great Barrington, MA 01230-1012
Phone (646) 678-2458
Other practice location 1
124 W 79th St Apt 1B
New York, NY 10024-6488
Phone (646) 678-2458
Other practice location 2
100 Gould Rd
Monterey, MA 01245
Phone (413) 717-9421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235002 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | Accepting new patients |
Locations
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
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/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1073750840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 HOLLENBECK AVE",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301012",
"telephone_number": "646-678-2458",
"fax_number": "413-645-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 HOLLENBECK AVE",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301012",
"telephone_number": "646-678-2458",
"fax_number": "413-645-1022"
}
],
"practiceLocations": [
{
"address_1": "124 W 79th St Apt 1B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100246488",
"country_code": "US",
"telephone_number": "646-678-2458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Gould Rd",
"address_purpose": "LOCATION",
"city": "Monterey",
"state": "MA",
"postal_code": "01245",
"country_code": "US",
"telephone_number": "413-717-9421",
"fax_number": "413-645-1022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "TANVEER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "235002",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "274898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.