Active NPI
Dr. Jane Kou, Psychiatrist, LLC
- Psychiatry Physician
- Syracuse, NY
National Provider Identifier
1558647693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 163572
- Legal business name
- DR. JANE KOU, PSYCHIATRIST, LLC
- Practice address
- 610 S Salina St
Syracuse, NY 13202-3524 - Phone
- (315) 421-7479
- Fax
- (315) 473-9853
- NPI assigned
- Nov 2, 2011
- Last updated
- Nov 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Kou, M.D.
- Title
- Owner
- Phone
- (315) 421-7479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 163572 | NY | Primary |
Addresses
Primary practice location
610 S Salina St
Syracuse, NY 13202-3524
Mailing address
610 S Salina St
Syracuse, NY 13202-3524
Phone (315) 421-7479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01377100 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1144337163
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1700864196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1558647693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023524",
"telephone_number": "315-421-7479",
"fax_number": "315-473-9853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023524",
"telephone_number": "315-421-7479",
"fax_number": "315-473-9853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JANE KOU, PSYCHIATRIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "KOU",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-421-7479",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "163572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01377100",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.