Active NPI
Ayeh Darvishzadeh, MD
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1255864005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2021-01960
- Practice address
- 508 Fulton St
Durham, NC 27705-3875 - Phone
- (919) 286-0411
- NPI assigned
- Apr 8, 2017
- Last updated
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2021-01960 | NC | Primary |
Addresses
Primary practice location
508 Fulton St
Durham, NC 27705-3875
Mailing address
138 Ellsworth Manor Dr
Hillsborough, NC 27278-9861
Phone (650) 238-8848
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01960 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1255864005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ELLSWORTH MANOR DR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789861",
"telephone_number": "650-238-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053875",
"telephone_number": "919-286-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVISHZADEH",
"first_name": "AYEH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-08",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2021-01960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Sakiya Darden, MSW, LCSW
- Alice Jean Darling, MD
- Kristen Ann Darr, LCSW
- Donna Darragh, OTR/L
- Darren Peters Wellness LLC
- Darwich Partners Inc. (International Quality Healthcare Corp)
- Darwich Partners Inc. (International Quality Healthcare Corp)
- Amir M Darwish, M.D.
- Collin James Darwish
- Husam Hussain Darwish, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.