Individual provider Active NPI

Vahan S Kouyoumdjian, MD

  • Psychiatry Physician
  • Pomona, NY
National Provider Identifier
1225060023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
205060 Issued in NY
Practice address
50 Sanitorium Rd
BLDG F
Pomona, NY 10970-3555
Phone
(845) 364-2378
Fax
(845) 364-2381
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X 205060 NY Primary

Addresses

Primary practice location

50 Sanitorium Rd
BLDG F
Pomona, NY 10970-3555

Mailing address

9 Cardinal CT
Airmont, NY 10952-4146
Phone (845) 364-6967

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
I20110421000632 NY Practitioner - Psychiatry 4284819053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinchus Brecher LCSW PLLC CurrentSince Jul 22, 2019 Accepting new patients
St.Vincent's Hospital Westchester a Division of Saint Joseph's Medical Past Accepting new patients
St Josephs Hospital Yonkers Past Accepting new patients

Locations

295 W Route 59
Spring Valley, NY 10977
Phone (845) 362-1247

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225060023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CARDINAL CT",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524146",
            "telephone_number": "845-364-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SANITORIUM RD",
            "address_2": "BLDG F",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703555",
            "telephone_number": "845-364-2378",
            "fax_number": "845-364-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUYOUMDJIAN",
        "first_name": "VAHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "205060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.