Organization Active NPI

Faisal Rafiq MD. PC

Doing business as Evolve Psychiatry

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1265860217
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
271401 Issued in NY
Legal business name
FAISAL RAFIQ MD. PC
Doing business as
Evolve Psychiatry
Practice address
1873 Western Ave
2ND Floor Suite 202
Albany, NY 12203-5028
Phone
(518) 605-7505
Fax
(855) 244-5206
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Dr. Faisal Muhammad Rafiq, MD.NPI 1770734238
Title
Psychiatrist/ Owner
Phone
(518) 605-7505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 271401 NY Primary

Addresses

Primary practice location

1873 Western Ave
2ND Floor Suite 202
Albany, NY 12203-5028

Mailing address

1873 Western Ave
2ND Floor Suite 202
Albany, NY 12203-5028
Phone (518) 605-7505

Other names 1

  • Evolve Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1873 Western Ave
Ste 202
Albany, NY 12203
Phone (518) 605-7505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1265860217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE",
            "address_2": "2ND FLOOR SUITE 202",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-605-7505",
            "fax_number": "855-244-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE",
            "address_2": "2ND FLOOR SUITE 202",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-605-7505",
            "fax_number": "855-244-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISAL RAFIQ MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PSYCHIATRIST/ OWNER",
        "authorized_official_telephone_number": "518-605-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "271401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.