Individual provider Active NPI

Peyman Khoshgavar, M.D.

  • Psychiatry Physician
  • Pottstown, PA
National Provider Identifier
1376559054
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427055 Issued in PA
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

Updated by the provider on Jul 25, 2008

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000439 PA Practitioner - Psychiatry 2769558584 Reassigns benefits to 2 organizations

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
Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

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

LicenseStateTypeSpecialty
MD427055PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology & Counseling Associates, PC CurrentSince Feb 23, 2019 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Dec 6, 2010 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.

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

Verify at the official NPI Registry.