NPIMap

Organization Active NPI

Max Psychiatry PC

  • Prescribing (Medical) Psychologist
  • Morrisville, NC
National Provider Identifier
1619231776
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
MAX PSYCHIATRY PC
Practice address
6402 McCrimmon Pkwy
Suite - 200
Morrisville, NC 27560-8138
Phone
(919) 386-0402
NPI assigned
Jul 3, 2012
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Saman Hasan, MDNPI 1871793893
Title
President
Phone
(919) 386-0402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X NU Primary

Addresses

Primary practice location

6402 McCrimmon Pkwy
Suite - 200
Morrisville, NC 27560-8138

Mailing address

6402 McCrimmon Pkwy
Suite - 200
Morrisville, NC 27560-8138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120730000064 NC Part B Supplier - Clinic/Group Practice 9931365343 Receives reassigned benefits from 7 practitioners
Practice locations: Apex, NC

National Provider Directory

National Provider Directory

Locations

1011 W Williams St
Ste 106
Apex, NC 27502
Phone (919) 386-0402

6402 McCrimmon Pkwy
Ste 200
Morrisville, NC 27560
Phone (919) 386-0402

Practitioners & affiliated clinicians

Practitioners 9

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": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1619231776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 MCCRIMMON PKWY",
            "address_2": "SUITE - 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 MCCRIMMON PKWY",
            "address_2": "SUITE - 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608138",
            "telephone_number": "919-386-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-386-0402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.