Tabassum Yasmin Khan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

212602-1 Issued in NY

Practice address

223 Main St
Beacon, NY 12508-2770

Phone

(845) 838-4900

Fax

(845) 838-4915

NPI assigned

Aug 17, 2005

Reactivated

Feb 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

PsychiatryAlso: Neuropsychiatry, Pediatric Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia CountyGroup PAC ID 8022003409, 16 clinicians

Spectrum Psychiatry, PCGroup PAC ID 9830367655, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbia County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson, NY
  • NPI 1689618977

  NY

  Medicare reassignment Care Compare group NPD
• Spectrum Psychiatry, PC

  • Psychiatry Physician
  • Poughkeepsie, NY
  • NPI 1255576203

  NY

  Medicare reassignment Care Compare group
• Columbia County

  • Ambulance
  • Hudson, NY
  • NPI 1972056026
  NPD
• Spectrum Behavioral Management Services, Inc.

  • Cognitive & Behavioral Psychologist
  • Poughkeepsie, NY
  • NPI 1629051149

  Psychiatry

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Memorial Hospital

  • General Acute Care Hospital
  • Hudson, NY
  • NPI 1528024718

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376535252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011328",
            "telephone_number": "845-486-2703",
            "fax_number": "845-471-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082770",
            "telephone_number": "845-838-4900",
            "fax_number": "845-838-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TABASSUM",
        "middle_name": "YASMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-03-07",
        "deactivation_date": "2019-02-11",
        "reactivation_date": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "212602-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D. LICENSE",
            "identifier": "212602-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Kaplan Therapy
• C'Joli F Johnson, CNA
• Kiliko Tanaka Jones
• Sadie Jones, C.N.M.
• Ramasree Karri, M.D.
• Nada Anna Khodl, MA BC-DMT LCAT
• Catherine Christina Kilkenny, LPN
• Susan Joy King, OTR
• Amber Klemann, RN, BSN
• KMM Mental Health Counseling, PLLC

• All providers in Beacon, NY
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.