Individual provider Active NPI

Samad E Namin, MD

  • Psychiatry Physician
  • Tarrytown, NY
National Provider Identifier
1548480577
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
209565 Issued in NY
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

Updated by the provider on Oct 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02243456MedicaidNY

Other names 1

  • Dr. Samad E Namin Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000945 NY Practitioner - Psychiatry 5597756817 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209565NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc., CurrentSince Jul 5, 1996 Accepting new patients
East Post Road Medical Services PC Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Welllife Network Inc CurrentSince Jul 5, 1996 Accepting new patients
The Mental Health Association of New York City, Inc. CurrentSince Dec 31, 2017 Accepting new patients
Welllife Network Inc. Past Accepting new patients
Harlem Bay Network Pros PastSince Dec 31, 2017 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network PastSince Oct 3, 2022 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.

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

Verify at the official NPI Registry.