Individual provider Active NPI

Anna Skiandos, D.O.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1316169899
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
240176 Issued in NY
Practice address
240 Madison Ave
Suite 10P
New York, NY 10016-2820
Phone
(646) 820-4090
Fax
(646) 558-0377
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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 240176 NY Primary

Addresses

Primary practice location

240 Madison Ave
Suite 10P
New York, NY 10016-2820

Mailing address

240 Madison Ave
Suite 10P
New York, NY 10016-2820
Phone (646) 820-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 26, 2015 through Aug 26, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1316169899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MADISON AVE",
            "address_2": "SUITE 10P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162820",
            "telephone_number": "646-820-4090",
            "fax_number": "646-558-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MADISON AVE",
            "address_2": "SUITE 10P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162820",
            "telephone_number": "646-820-4090",
            "fax_number": "646-558-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIANDOS",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "240176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.