Individual provider Active NPI

Thomas Albert Yared, M.D.

  • Psychiatry Physician
  • Amityville, NY
National Provider Identifier
1205866571
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
125804 Issued in NY
Practice address
137 Broadway
Suite E
Amityville, NY 11701-2742
Phone
(516) 255-5527
NPI assigned
Jul 3, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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 125804 NY Primary

Addresses

Primary practice location

137 Broadway
Suite E
Amityville, NY 11701-2742

Mailing address

137 Broadway
Suite E
Amityville, NY 11701-2742
Phone (516) 255-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051102000642 NY Practitioner - Psychiatry 6709804305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Georgetown University School of Medicine, 1973
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Odyssey House, IncGroup PAC ID 2264323393, 2 clinicians
Sco Family of ServicesGroup PAC ID 1850283722, 4 clinicians

Practice addresses (Care Compare)

120 Wall St
FL 17
New York, NY 10005-3904

1415 Kellum PL
Suite 140
Garden City, NY 11530-1604

151 Burrs LN
Dix Hills, NY 11746-6052
Phone (631) 213-0146

953 Southern Blvd
RM 301
Bronx, NY 10459-3428
Phone (212) 361-1619

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House, Inc CurrentSince Feb 3, 2016 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. Psychiatry CurrentSince Jan 4, 2016 Accepting new patients
Sco Family of Services Dba Madonna Heights Service Clinic CurrentSince Mar 6, 2019 Accepting new patients
Southeast Nassau Guidance Center Inc. Past Accepting new patients
Lifespire, Inc. Past Accepting new patients
Shlomit Levy Past Accepting new patients
RJZM LLC Past Accepting new patients
Lifespire, Inc. Past Accepting new patients
Southeast Nassau Guidance Center Past Accepting new patients

Locations

953 Southern Blvd
Rm 301
Bronx, NY 10459
Phone (212) 361-1619

151 Burrs Ln
Dix Hills, NY 11746
Phone (631) 213-0146

1415 Kellum Pl
Ste 140
Garden City, NY 11530
Phone (516) 671-1253

120 Wall St
Ste 1700
New York, NY 10005

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1205866571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BROADWAY",
            "address_2": "SUITE E",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012742",
            "telephone_number": "516-255-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BROADWAY",
            "address_2": "SUITE E",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012742",
            "telephone_number": "516-255-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARED",
        "first_name": "THOMAS",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "125804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.