Active NPI
Anita Richardson-Sasson, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Horseheads, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401936-1
- 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, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589599 | NY | MD | Registered Nurse |
| F401936-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Valera Medical, P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Family Services of Chemung County, Inc. | Registered Nurse | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Brain Health USA
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
AZ
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1437482544
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.