Individual provider Active NPI

Hamed Nazin Adaime, PHD

  • Mental Health Counselor
  • Philadelphia, NY
National Provider Identifier
1174859912
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003444 Issued in NY
Practice address
87 Main St
Philadelphia, NY 13673-2185
Phone
(575) 644-8824
Fax
(888) 418-7407
NPI assigned
Oct 29, 2009
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003444 NY Primary

Addresses

Primary practice location

87 Main St
Philadelphia, NY 13673-2185

Mailing address

PO Box 193
Philadelphia, NY 13673-0193
Phone (575) 644-8824

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003444NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1174859912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "136730193",
            "telephone_number": "575-644-8824",
            "fax_number": "888-418-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "136732185",
            "telephone_number": "575-644-8824",
            "fax_number": "888-418-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIME",
        "first_name": "HAMED",
        "middle_name": "NAZIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.