Individual provider Active NPI

Muhammad Abd Al-Rahman, M.H.S.,LMFT

  • Marriage & Family Therapist
  • Newburgh, NY
National Provider Identifier
1184830408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000526-1 Issued in NY
Practice address
603 Broadway
Newburgh, NY 12550-5131
Phone
(845) 561-5125
Fax
(845) 561-5126
NPI assigned
May 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Marriage & Family Therapist 106H00000X 000526-1 NY Primary

Addresses

Primary practice location

603 Broadway
Newburgh, NY 12550-5131

Mailing address

340 Angelo Dr
Montgomery, NY 12549-1600
Phone (845) 457-7090

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

State licenses

LicenseStateTypeSpecialty
000526-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Culture Wellness &Development for Marriages &Familytherapy, P.C. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184830408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ANGELO DR",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491600",
            "telephone_number": "845-457-7090",
            "fax_number": "845-457-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505131",
            "telephone_number": "845-561-5125",
            "fax_number": "845-561-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-RAHMAN",
        "first_name": "MUHAMMAD",
        "middle_name": "ABD",
        "credential": "M.H.S.,LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000526-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.