Individual provider Active NPI

Tahmina R Elahi, MD

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1083702237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35078369 Issued in OH
Practice address
Community Support Services Inc
150 Cross Street
Akron, OH 44311
Phone
(330) 253-9388
Fax
(330) 376-6726
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35078369 OH Primary

Addresses

Primary practice location

Community Support Services Inc
150 Cross Street
Akron, OH 44311

Mailing address

Community Support Services Inc
150 Cross Street
Akron, OH 44311
Phone (330) 253-9388

Other identifiers 1

IdentifierTypeStateIssuer
000000236449OtherOHBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100719000144 OH Practitioner - Psychiatry 1355473984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Psychiatry Associates LLCGroup PAC ID 2961838966, 2 clinicians

Practice addresses (Care Compare)

340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100

3610 W Market St
Suite 103
Fairlawn, OH 44333-9301
Phone (330) 576-3048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078369OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Path Community Mental Health Center CurrentSince Feb 1, 2020 Accepting new patients
Northeast Psychiatry Associates LLC Psychiatry CurrentSince Jan 2, 2020 Accepting new patients

Locations

340 S Broadway St
Akron, OH 44308
Phone (330) 253-3100

3610 W Market St
Ste 103
Fairlawn, OH 44333
Phone (330) 576-3048

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, 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083702237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY SUPPORT SERVICES INC",
            "address_2": "150 CROSS STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44311",
            "telephone_number": "330-253-9388",
            "fax_number": "330-376-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY SUPPORT SERVICES INC",
            "address_2": "150 CROSS STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44311",
            "telephone_number": "330-253-9388",
            "fax_number": "330-376-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAHI",
        "first_name": "TAHMINA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35078369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000000236449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.