Individual provider Active NPI

Hamid Rahim, PHD

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1386959831
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018594-1 Issued in NY
Practice address
1496 Saint Johns PL
Brooklyn, NY 11213-3911
Phone
(917) 865-2668
NPI assigned
Aug 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018594-1 NY Primary

Addresses

Primary practice location

1496 Saint Johns PL
Brooklyn, NY 11213-3911

Mailing address

3916 Farragut Rd
Brooklyn, NY 11210-2007
Phone (917) 865-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000830 NY Practitioner - Clinical Psychologist 8820278476 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1496 Saint Johns PL
Brooklyn, NY 11213-3911
Phone (917) 865-2668

2952 Brighton 3Rd St
Suite 201
Brooklyn, NY 11235-6897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
018594-1NYMDPsychologist
018594NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aging Matters Psychological Services, PC Psychologist CurrentSince Nov 1, 2010 Accepting new patients
Sherry Shahrzad Nazarian D.P.M. P.C. PastSince Feb 18, 2024 Accepting new patients
Eddy J. Vincent Physician,P.C. Past Accepting new patients
Tri-State Foot Care, P.C Past Accepting new patients

Locations

34 S Broadway
Ste 600
White Plains, NY 10601
Phone (914) 328-9877

Networks

  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1386959831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 FARRAGUT RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102007",
            "telephone_number": "917-865-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133911",
            "telephone_number": "917-865-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.