Active NPI
Syeda I Hasan, M.D.
- Child & Adolescent Psychiatry Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MA063892
- Practice address
- 696 Dutchess Tpke Ste 5G
Poughkeepsie, NY 12603-6444 - Phone
- (845) 463-2896
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 67344 | CT | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MA063892 | NJ | Primary |
Addresses
Primary practice location
696 Dutchess Tpke Ste 5G
Poughkeepsie, NY 12603-6444
Mailing address
696 Dutchess Tpke Ste 5G
Poughkeepsie, NY 12603-6444
Phone (845) 463-2896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7120401 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
696 Dutchess Tpke
Suite G
Poughkeepsie, NY 12603-6445
Phone (845) 463-2896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA063892 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access: Supports for Living Inc | Current | Accepting new patients | |
| Access: Supports for Living Inc. | Current | Accepting new patients | |
| Natchaug Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
| Access: Supports for Living Inc | Multi-Specialty | Current | Accepting new patients |
Locations
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
24 Union St
Middletown, NY 10940
Phone (845) 343-1173
67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850
15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123
Interoperability endpoints
- syeda.hasan@xdr.hhchealthdirect.org
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.
-
- Multi-Specialty Clinic/Center
- Middletown, NY
- NPI 1528174976
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Community/Behavioral Health Agency
- Middletown, NY
- NPI 1215122361
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1790326320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1447370259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 DUTCHESS TPKE STE 5G",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036444",
"telephone_number": "845-463-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 DUTCHESS TPKE STE 5G",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036444",
"telephone_number": "845-463-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "SYEDA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2023-03-30",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "67344",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "MA063892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7120401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.