New Life Psychiatry Counseling Service

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

264908 Issued in NY

Legal business name

NEW LIFE PSYCHIATRY COUNSELING SERVICE

Practice address

7127 Fresh Pond Rd
First Floor Right
Ridgewood, NY 11385-5918

Phone

(718) 381-2829

Fax

(718) 381-2819

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Imran Aziz Shaikh, MD

Title

Director

Phone

(917) 403-6271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1326416199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 FRESH POND RD",
            "address_2": "FIRST FLOOR RIGHT",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855918",
            "telephone_number": "718-381-2829",
            "fax_number": "718-381-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 FRESH POND RD",
            "address_2": "FIRST FLOOR RIGHT",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855918",
            "telephone_number": "718-381-2829",
            "fax_number": "718-381-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE PSYCHIATRY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-403-6271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "264908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ridgewood, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.