Active NPI
Peyman Khoshgavar, M.D.
- Psychiatry Physician
- Pottstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD427055
- Practice address
- 361 E High St
Creative Health
Pottstown, PA 19464-5659 - Phone
- (610) 326-9250
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD427055 | PA | Primary |
Addresses
Primary practice location
361 E High St
Creative Health
Pottstown, PA 19464-5659
Mailing address
361 E High St
Creative Health
Pottstown, PA 19464-5659
Phone (610) 326-9250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2091 E High St
Pottstown, PA 19464-3211
Phone (610) 970-5234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD427055 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology & Counseling Associates, PC | Current | Accepting new patients | |
| Fellowship Health Resources, Inc | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients | |
| Creative Health Services, Inc. | Psychiatry | Past | Accepting new patients |
| Collegeville Psychological Center Inc | Psychiatry | Past | Accepting new patients |
| Creative Health Services, Inc. | Past | Accepting new patients |
Locations
1041 W Bridge St
Ste 5
Phoenixville, PA 19460
Phone (610) 415-9301
2091 E High St
Pottstown, PA 19464
Phone (610) 970-5234
25 Blackstone Valley Pl
Ste 300
Lincoln, RI 02865
24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980
Organizations & group practices 6
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.
-
- Clinical Psychologist
- Pottstown, PA
- NPI 1750303368
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, RI
- NPI 1245239680
PA
-
- Psychiatry Physician
- Eagleville, PA
- NPI 1851305759
-
- Child & Adolescent Psychiatry Physician
- Pottstown, PA
- NPI 1124194121
-
- Case Management Agency
- Pottstown, PA
- NPI 1922214121
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1376559054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 E HIGH ST",
"address_2": "CREATIVE HEALTH",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645659",
"telephone_number": "610-326-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 E HIGH ST",
"address_2": "CREATIVE HEALTH",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645659",
"telephone_number": "610-326-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSHGAVAR",
"first_name": "PEYMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD427055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.