Brian Ghezelaiagh, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRIAN GHEZELAIAGH, MD, PC

Doing business as

Brookhaven Psychiatry

Practice address

2500 Nesconset Hwy BLDG 17C
Stony Brook, NY 11790-2563

Phone

(631) 210-6305

Fax

(631) 292-7376

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Ghezelaiagh, MDNPI 1033616206

Title

Owner

Phone

(631) 210-6305

Specialties & licenses 1

Addresses

Other names 1

• Brookhaven Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Brian Ghezelaiagh, MD

  • Psychiatry Physician
  • Stony Brook, NY
  • NPI 1033616206

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Skier, MD

  • Child & Adolescent Psychiatry Physician
  • Stony Brook, NY
  • NPI 1144687799
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1659140747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 17C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902563",
            "telephone_number": "631-210-6305",
            "fax_number": "631-292-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 17C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902563",
            "telephone_number": "631-210-6305",
            "fax_number": "631-292-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GHEZELAIAGH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "GHEZELAIAGH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-210-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryanna Nicole Bravo
• Anthony Brehm, M.D.
• Yuli Breier, DO
• Brett M. Liquori, Licensed Psychologist, PC
• Daniel Edward Brezina, MD
• Lory Bright-Long, M.D.
• James Joseph Briley Jr., DO
• Joan Broderick
• Sharon Kaylie Brodsky, MS OTRL
• Brian Daniel Bronson, M.D.

• Psychiatry Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.