Individual provider Active NPI

Sirin Ozdemir, MD

  • Psychiatry Physician
  • Manchester, NH
National Provider Identifier
1548601230
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33119 Issued in NH
Practice address
445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone
(603) 668-4079
Fax
(401) 780-2565
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD17502 RI
Psychiatry Physician 2084P0800X 256873 MA
Child & Adolescent Psychiatry Physician 2084P0804X 33119 NH
Psychiatry Physician 2084P0800X 33119 NH Primary

Addresses

Primary practice location

445 Cypress St Ste 8
Manchester, NH 03103-3600

Mailing address

445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone (603) 668-4079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210727000466 RI Practitioner - Psychiatry 7416248307
I20240916002610 NH Practitioner - Psychiatry 7416248307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
Elliot Professional Services Psychiatry PastSince Aug 18, 2024 Accepting new patients

Locations

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

Interoperability endpoints

  • Direct secure messaging: sozdemir167555@direct.solutionhealth.org

Organizations & group practices 2

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1548601230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST STE 8",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-668-4079",
            "fax_number": "401-780-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST STE 8",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-668-4079",
            "fax_number": "401-780-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZDEMIR",
        "first_name": "SIRIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD17502",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "256873",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NH",
            "license": "33119",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "33119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.