Active NPI
Samad E Namin, MD
- Psychiatry Physician
- Tarrytown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 209565
- Practice address
- 580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152 - Phone
- (914) 345-5900
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 209565 | NY | |
| Psychiatry Physician | 2084P0800X | 209565 | NY | Primary |
Addresses
Primary practice location
580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152
Mailing address
580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152
Phone (914) 345-5900
Other practice location 1
43 High Point Circle
Rye Brook, NY 10573-1092
Phone (914) 320-6165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02243456 | Medicaid | NY |
Other names 1
- Dr. Samad E Namin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209565 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc., | Current | Accepting new patients | |
| East Post Road Medical Services PC | Psychiatry | Current | Accepting new patients |
| Welllife Network Inc | Current | Accepting new patients | |
| The Mental Health Association of New York City, Inc. | Current | Accepting new patients | |
| Welllife Network Inc. | Past | Accepting new patients | |
| Harlem Bay Network Pros | Past | Accepting new patients | |
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients | |
| White Plains Hospital Medical Center | Past | Accepting new patients | |
| Med-Psych Service | Past | Accepting new patients |
Locations
2510 Westchester Ave
Fl 2
Bronx, NY 10461
Phone (718) 824-2790
14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516
14202 20th Ave
#3
Flushing, NY 11351
800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450
50 Broadway
Fl 19
New York, NY 10004
Phone (212) 254-0333
116 E 124th St
Fl 3
New York, NY 10035
Phone (212) 876-6083
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
Psychiatry
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1013230374
-
- Clinic/Center
- Huntington, NY
- NPI 1932125721
-
- Clinic/Center
- Port Chester, NY
- NPI 1447235833
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Adult Mental Health Clinic/Center
- New York, NY
- NPI 1952669913
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
-
- Diagnostic Radiology Physician
- White Plains, NY
- NPI 1962892695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1548480577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD STE 510",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915152",
"telephone_number": "914-345-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD STE 510",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915152",
"telephone_number": "914-345-5900"
}
],
"practiceLocations": [
{
"address_1": "43 High Point Circle",
"address_purpose": "LOCATION",
"city": "Rye Brook",
"state": "NY",
"postal_code": "105731092",
"country_code": "US",
"telephone_number": "914-320-6165",
"fax_number": "914-690-2789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAMIN",
"first_name": "SAMAD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "209565",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "209565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02243456",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMAD",
"last_name": "NAMIN",
"middle_name": "E",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.