Individual provider Active NPI

Saba Syed, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1306330493
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402534-1 Issued in NY
Practice address
713 Harrison St
Syracuse, NY 13210-2305
Phone
(315) 464-3166
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95016595 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209022066 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402534-1 NY Primary

Addresses

Primary practice location

713 Harrison St
Syracuse, NY 13210-2305

Mailing address

713 Harrison St
Syracuse, NY 13210-2305

Other practice location 1

7171 Bowling Dr Ste 300
Sacramento, CA 95823-2043
Phone (916) 394-9195

Other practice location 2

2500 Marconi Ave Ste 100
Sacramento, CA 95821-4856
Phone (916) 485-4175

Other identifiers 1

IdentifierTypeStateIssuer
324868382001MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NotApplicable Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181109002684 NY Practitioner - Nurse Practitioner 0446504468 Reassigns benefits to 1 organization
I20220427000744 IL Practitioner - Nurse Practitioner 0446504468

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry Faculty Practice, IncGroup PAC ID 9234458530, 90 clinicians

Practice addresses (Care Compare)

713 Harrison St
BLDG 3
Syracuse, NY 13210-2305
Phone (315) 464-3265

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.2
Promoting interoperability
100
Improvement activities
40
Cost
69.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016595CAMDPsychiatric/Mental Health Nurse Practitioner
F402534-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sameday Psychiatry Inc., Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Psychiatry Faculty Practice, Inc. CurrentSince Oct 15, 2018 Accepting new patients
Sustainable Wellness Solutions PastSince Jun 7, 2020 Accepting new patients

Locations

719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265

713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265

713 Harrison St
Syracuse, NY 13210
Phone (315) 464-3145

Interoperability endpoints

  • Direct secure messaging: sabahath.shaikh.1@24284.direct.athenahealth.com
  • Direct secure messaging: sshaikh84409@direct.upstate.edu

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1306330493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102305",
            "telephone_number": "315-464-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 Bowling Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232043",
            "country_code": "US",
            "telephone_number": "916-394-9195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Marconi Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958214856",
            "country_code": "US",
            "telephone_number": "916-485-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "SABA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016595",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209022066",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402534-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324868382001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NotApplicable",
            "affiliation": "N",
            "endpointDescription": "NotApplicable",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NotApplicable",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NotApplicable",
            "address_1": "3657 Monarch Cir",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605649755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.