Active NPI
Abbas Sadeghian
- Psychiatry Physician
- Canton, OH
National Provider Identifier
1487765467
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4027
- Practice address
- 1445 Harrison Ave NW
Suite 101
Canton, OH 44708-2620 - Phone
- (330) 994-0234
- Fax
- (330) 994-0235
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4027 | OH | Primary |
Addresses
Primary practice location
1445 Harrison Ave NW
Suite 101
Canton, OH 44708-2620
Mailing address
1445 Harrison Ave NW
Suite 101
Canton, OH 44708-2620
Phone (330) 994-0234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0699436 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4027 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Psychiatric Counseling and Pain Management Services LLC | Psychiatry | Past | Accepting new patients |
| Aultman Hospital | Past | Accepting new patients | |
| S Zaidi MD and Associates Inc | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17119/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Canton, OH
- NPI 1700941978
-
- Psychiatry Physician
- Canton, OH
- NPI 1861597148
-
- Psychiatry Physician
- Canton, OH
- NPI 1518987361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1487765467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 HARRISON AVE NW",
"address_2": "SUITE 101",
"city": "CANTON",
"state": "OH",
"postal_code": "447082620",
"telephone_number": "330-994-0234",
"fax_number": "330-994-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 HARRISON AVE NW",
"address_2": "SUITE 101",
"city": "CANTON",
"state": "OH",
"postal_code": "447082620",
"telephone_number": "330-994-0234",
"fax_number": "330-994-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEGHIAN",
"first_name": "ABBAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "4027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0699436",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.