Active NPI
Bruce A Kahn, J.D., M.D.
- Psychiatry Physician
- Syracuse, NY
National Provider Identifier
1558415752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 178464
- Practice address
- 201 Prospect Ave
Syracuse, NY 13203-1805 - Phone
- (315) 448-6463
- Fax
- (315) 448-6510
- NPI assigned
- Jan 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 178464 | NY | Primary |
Addresses
Primary practice location
201 Prospect Ave
Syracuse, NY 13203-1805
Mailing address
9 Enright Street
Mysterton, QUEENSLAND 4812
AU
Phone 61747753088
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
- Juris Doctor, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Psychiatry | Past | Accepting new patients |
| St Josephs Hospital Health Center | Past | Accepting new patients | |
| State of Wyoming | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Psychiatric Hospital
- Evanston, WY
- NPI 1316011562
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1558415752",
"addresses": [
{
"country_code": "AU",
"country_name": "Australia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "9 ENRIGHT STREET",
"city": "MYSTERTON",
"state": "QUEENSLAND",
"postal_code": "4812",
"telephone_number": "61747753088",
"fax_number": "435-604-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031805",
"telephone_number": "315-448-6463",
"fax_number": "315-448-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "BRUCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "J.D., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "178464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.