Organization Active NPI

Houshang G Hamadani MD Dpsych PC

  • Psychosomatic Medicine Physician
  • Allentown, PA
National Provider Identifier
1114147873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
MD037800L Issued in PA
Legal business name
HOUSHANG G HAMADANI MD DPSYCH PC
Practice address
2895 Hamilton Blvd
Suite 103
Allentown, PA 18104-6172
Phone
(610) 820-0644
Fax
(610) 435-1022
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Houshang G Hamadani, MD
Title
President
Phone
(610) 820-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X MD037800L PA Primary

Addresses

Primary practice location

2895 Hamilton Blvd
Suite 103
Allentown, PA 18104-6172

Mailing address

2895 Hamilton Blvd
Suite 103
Allentown, PA 18104-6172
Phone (610) 820-0644

Other identifiers 1

IdentifierTypeStateIssuer
0552452MedicaidPA

National Provider Directory

National Provider Directory

Locations

2895 Hamilton Blvd
Ste 103
Allentown, PA 18104
Phone (610) 820-0644

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114147873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-820-0644",
            "fax_number": "610-435-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-820-0644",
            "fax_number": "610-435-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSHANG G HAMADANI MD DPSYCH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMADANI",
        "authorized_official_first_name": "HOUSHANG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-820-0644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "MD037800L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0552452",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.