Individual provider Active NPI

Abbas Sadeghian

  • Psychiatry Physician
  • Canton, OH
National Provider Identifier
1487765467
Registry record updated Jul 26, 2013
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4027 Issued in OH
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

Updated by the provider on Jul 26, 2013

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 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

IdentifierTypeStateIssuer
0699436MedicaidOH

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4027OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Psychiatric Counseling and Pain Management Services LLC Psychiatry PastSince May 1, 2005 Accepting new patients
Aultman Hospital Past Accepting new patients
S Zaidi MD and Associates Inc Psychiatry PastSince Aug 1, 2000 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.