Active NPI
Tara Malekshahi, M.D.
- Psychiatry Physician
- Glen Oaks, NY
National Provider Identifier
1609189133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14909
- Practice address
- 7559 263Rd St
Glen Oaks, NY 11004 - Phone
- (718) 470-8011
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14909 | RI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7559 263Rd St
Glen Oaks, NY 11004
Mailing address
7559 263Rd St
Glen Oaks, NY 11004-1150
Other practice location 1
345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6200
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14909 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Center | Psychiatry | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1609189133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-470-8011"
}
],
"practiceLocations": [
{
"address_1": "345 Blackstone Blvd",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-455-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALEKSHAHI",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "14909",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.