Med-Psych Service

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

209565 Issued in NY

Legal business name

MED-PSYCH SERVICE

Practice address

One Gate Way Plaza
3Rd Floor
Port Chester, NY 10573

Phone

(914) 202-4949

NPI assigned

Dec 8, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samad E. Namin, M.D.NPI 1548480577

Title

President

Phone

(914) 202-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samad E Namin, MD

  • Psychiatry Physician
  • Tarrytown, NY
  • NPI 1548480577
  NPD (past) Authorized official

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447235833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HIGH POINT CIR",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731092",
            "telephone_number": "914-202-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GATE WAY PLAZA",
            "address_2": "3RD FLOOR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-202-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PSYCH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAMIN",
        "authorized_official_first_name": "SAMAD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-202-4949",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "209565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02243456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessly Mathews
• Sun Matsui, PHARMD
• Kathleen E. McKay, LP
• Wendy McKenna, PH.D.
• Meghan McSherry
• Meghan Meegan, BCBA, LBA
• Angela Y Mercedes, FNP
• Cynthia Chisom Mgbeojirikwe
• Amy Milgram, DPT
• William M Miller, DPM

• Clinic/Center in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.