Active NPI
Hassan Naqvi
- Psychiatry Physician
- Newburgh, NY
National Provider Identifier
1558757013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 314381
- Practice address
- 50 Wesley CT
Newburgh, NY 12550-7037 - Phone
- (917) 809-5423
- NPI assigned
- Apr 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 063570 | CT | |
| Psychiatry Physician | 2084P0800X | 78509 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 314381 | NY | Primary |
Addresses
Primary practice location
50 Wesley CT
Newburgh, NY 12550-7037
Mailing address
50 Wesley CT
Newburgh, NY 12550-7037
Phone (917) 809-5423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063570 | CT | MD | Psychiatry Physician |
| 78509 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animo Sano Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
Locations
5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202
6409 Fayetteville Rd
Ste 120
Durham, NC 27713
Phone (561) 319-6188
2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 909-1230
Interoperability endpoints
- hnaqvi2299378@nychhc.direct-ci.com
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Durham, NC
- NPI 1568043537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1558757013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WESLEY CT",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125507037",
"telephone_number": "917-809-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WESLEY CT",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125507037",
"telephone_number": "917-809-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAQVI",
"first_name": "HASSAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-11",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "063570",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "78509",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "314381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.