Individual provider Active NPI

Kamali Swaminathan, MD,MPH

  • Psychiatry Physician
  • Glens Falls, NY
National Provider Identifier
1639330483
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD460369 Issued in PA
Practice address
100 Park St
Glens Falls, NY 12801-4413
Phone
(518) 926-3207
NPI assigned
Jun 24, 2008
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD460369 PA Primary

Addresses

Primary practice location

100 Park St
Glens Falls, NY 12801-4413

Mailing address

1400 Belmont Blvd Apt 204
Monroeville, PA 15146-5327
Phone (917) 346-6854

Other identifiers 1

IdentifierTypeStateIssuer
03357339MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002264 PA Practitioner - Psychiatry 0143499509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-2685
Phone (724) 374-3468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD460369PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC Psychiatry CurrentSince Oct 27, 2022 Accepting new patients
Mon Yough Community Services Inc Current Accepting new patients

Locations

413 E Gibson Ave
Connellsville, PA 15425
Phone (724) 603-2473

331 Shaw Ave
McKeesport, PA 15132
Phone (412) 664-6590

335 Shaw Ave
McKeesport, PA 15132
Phone (412) 586-2801

500 Walnut St
Fl 3
McKeesport, PA 15132
Phone (412) 675-6498

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

7000 Stonewood Dr
Ste 300
Wexford, PA 15090
Phone (724) 724-0992

Interoperability endpoints

  • Direct secure messaging: kamali.swaminathan.1@14821.direct.athenahealth.com

Organizations & group practices 2

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1639330483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BELMONT BLVD APT 204",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151465327",
            "telephone_number": "917-346-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMINATHAN",
        "first_name": "KAMALI",
        "credential": "MD,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD460369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03357339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.