Individual provider Active NPI

Anita Richardson-Sasson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Horseheads, NY
National Provider Identifier
1629378039
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401936-1 Issued in NY
Practice address
735 Chambers Rd
Horseheads, NY 14845-8946
Phone
(646) 828-1662
Fax
(646) 871-6897
NPI assigned
Nov 1, 2010
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10080 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401936-1 NY Primary
Registered Nurse 163W00000X 589599 NY

Addresses

Primary practice location

735 Chambers Rd
Horseheads, NY 14845-8946

Mailing address

735 Chambers Rd
Horseheads, NY 14845-8946
Phone (646) 828-1662

Other practice location 1

4904 19th Ave
Astoria, NY 11105-1002
Phone (347) 774-7000

Other practice location 2

9100 N Central Ave
Phoenix, AZ 85020-2430
Phone (800) 793-4656 ext. 803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161216001775 NY Practitioner - Nurse Practitioner 0244510881 Reassigns benefits to 2 organizations
I20170907002124 AZ Practitioner - Nurse Practitioner 0244510881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
589599NYMDRegistered Nurse
F401936-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Oct 30, 2017 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Feb 12, 2026 Accepting new patients
District Medical Group, Inc CurrentSince Oct 30, 2017 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Apr 15, 2021 Accepting new patients
Family Services of Chemung County, Inc. Registered Nurse CurrentSince Mar 31, 2019 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

840 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (602) 470-5520

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

134 N 4th St
Brooklyn, NY 11249

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

1149 Sullivan St
Elmira, NY 14901
Phone (607) 733-7661

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1629378039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CHAMBERS RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458946",
            "telephone_number": "646-828-1662",
            "fax_number": "646-871-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CHAMBERS RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458946",
            "telephone_number": "646-828-1662",
            "fax_number": "646-871-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4904 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111051002",
            "country_code": "US",
            "telephone_number": "347-774-7000",
            "fax_number": "347-774-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202430",
            "country_code": "US",
            "telephone_number": "800-793-4656 x803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON-SASSON",
        "first_name": "ANITA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10080",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401936-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "589599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

Verify at the official NPI Registry.