Active NPI
Samia Hasan, MD
- Psychiatry Physician
- Beachwood, OH
National Provider Identifier
1528166139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35-070907
- Practice address
- 23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446 - Phone
- (216) 831-2900
- Fax
- (216) 831-4306
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 35-070907 | OH | Primary |
Addresses
Primary practice location
23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446
Mailing address
23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446
Phone (216) 831-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000300107 | Other | OH | ANTHEM BC & BS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-070907 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levine, Risen & Associates, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528166139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23230 CHAGRIN BLVD",
"address_2": "SUITE 350",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225446",
"telephone_number": "216-831-2900",
"fax_number": "216-831-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23230 CHAGRIN BLVD",
"address_2": "SUITE 350",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225446",
"telephone_number": "216-831-2900",
"fax_number": "216-831-4306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "SAMIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-070907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "000000300107",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.