NPIMap

Organization Active NPI

Fairport Psychiatric Associates

  • Psychiatry Physician
  • Fairport, NY
National Provider Identifier
1346719614
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FAIRPORT PSYCHIATRIC ASSOCIATES
Practice address
1387 Fairport Rd Ste 660
Fairport, NY 14450-2002
Phone
(585) 388-8020
Fax
(585) 388-8023
NPI assigned
Nov 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Dr. Khalid Mahmoud Hubeishy, MDNPI 1306930391
Title
Owner
Phone
(585) 388-8020

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: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1387 Fairport Rd Ste 660
Fairport, NY 14450-2002

Mailing address

1387 Fairport Rd Ste 660
Fairport, NY 14450-2002
Phone (585) 388-8020

Other names 1

  • Fairport Psychiatric Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1387 Fairport Rd
Ste 660
Fairport, NY 14450
Phone (585) 388-8020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1346719614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 FAIRPORT RD STE 660",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502002",
            "telephone_number": "585-388-8020",
            "fax_number": "585-388-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 FAIRPORT RD STE 660",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502002",
            "telephone_number": "585-388-8020",
            "fax_number": "585-388-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRPORT PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "HUBEISHY",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-388-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairport Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.