Organization Active NPI

Dr. Jane Kou, Psychiatrist, LLC

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1558647693
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
163572 Issued in NY
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Jane Kou, M.D.NPI 1144337163
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01377100MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & 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.

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": []
}

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 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.

Verify at the official NPI Registry.