Individual provider Active NPI

Jameela Kobeissi, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1407014640
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
253706 Issued in NY
Practice address
83 Maiden LN
6TH Floor
New York, NY 10038-4812
Phone
(212) 780-2378
Fax
(212) 505-0724
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 253706 NY Primary

Addresses

Primary practice location

83 Maiden LN
6TH Floor
New York, NY 10038-4812

Mailing address

300 Cadman PLZ W FL 17
Brooklyn, NY 11201-3229
Phone (718) 822-1818

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215001140 NY Practitioner - Psychiatry 0648468751 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253706NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Healthcare Services P.C. Psychiatry CurrentSince Feb 21, 2012 Accepting new patients
The Institute for Family Health Current Accepting new patients
Ahrc Healthcare Inc. CurrentSince Sep 26, 2010 Accepting new patients
The Institute for Family Health CurrentSince Jan 3, 2018 Accepting new patients
Ahrc Health Care Inc CurrentSince Sep 26, 2010 Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

140 Pine St
Fl 2
Kingston, NY 12401

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378

251 W 80th St
New York, NY 10024

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Organizations & group practices 5

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1407014640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W FL 17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013229",
            "telephone_number": "718-822-1818",
            "fax_number": "347-916-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIDEN LN",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384812",
            "telephone_number": "212-780-2378",
            "fax_number": "212-505-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBEISSI",
        "first_name": "JAMEELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "253706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.