Active NPI
Junaid A. Hussain, M.D.
- Child & Adolescent Psychiatry Physician
- Lancaster, PA
National Provider Identifier
1124204326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD436595
- Practice address
- 790 New Holland Ave
Lancaster, PA 17602-2137 - Phone
- (717) 390-0353
- Fax
- (717) 390-1812
- NPI assigned
- Jan 17, 2008
- Last updated
- Dec 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD436595 | PA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 57.013912 | OH |
Addresses
Primary practice location
790 New Holland Ave
Lancaster, PA 17602-2137
Mailing address
2001 Crestwyck Cir
Mount Joy, PA 17552-7220
Phone (512) 786-8117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.013912 | OH | MD | Child & Adolescent Psychiatry Physician |
| MD436595 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truenorth Wellness Services | Current | Accepting new patients | |
| Pennsylvania Counseling Services Inc. | Current | Accepting new patients | |
| Truenorth Wellness Services | Current | Accepting new patients | |
| Portage Path Community Mental Health Center | Past | Accepting new patients | |
| Community Services Group, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Portage Path Behavioral Health | Past | Accepting new patients |
Locations
625 W Elm Ave
Hanover, PA 17331
200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464
Organizations & group practices 7
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.
-
- Counselor
- Lebanon, PA
- NPI 1669474979
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1912013509
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1447443049
-
- Community/Behavioral Health Agency
- Mountville, PA
- NPI 1265426084
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1881643633
-
dba Portage Path Behavioral health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1225087802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1124204326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CRESTWYCK CIR",
"city": "MOUNT JOY",
"state": "PA",
"postal_code": "175527220",
"telephone_number": "512-786-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NEW HOLLAND AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022137",
"telephone_number": "717-390-0353",
"fax_number": "717-390-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "JUNAID",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD436595",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "57.013912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.