Active NPI
Aminata Cisse, MD
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1699031203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD457483
- Practice address
- 3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309 - Phone
- (215) 746-6700
- NPI assigned
- Apr 9, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01079747A | IN | |
| Psychiatry Physician | 2084P0800X | 2017-02491 | NC | |
| Psychiatry Physician | 2084P0800X | MD457483 | PA | Primary |
Addresses
Primary practice location
3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309
Mailing address
3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309
Phone (215) 746-6700
Other practice location 1
262 LeRoy George Dr
Clyde, NC 28721-7430
Phone (828) 452-8651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079747A | IN | MD | Psychiatry Physician |
| 2017-02491 | NC | MD | Psychiatry Physician |
| MD457483 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Horizon House - Delaware Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, DE
- NPI 1881719268
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699031203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 MARKET ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043309",
"telephone_number": "215-746-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 MARKET ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043309",
"telephone_number": "215-746-6700"
}
],
"practiceLocations": [
{
"address_1": "262 LeRoy George Dr",
"address_purpose": "LOCATION",
"city": "Clyde",
"state": "NC",
"postal_code": "287217430",
"country_code": "US",
"telephone_number": "828-452-8651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISSE",
"first_name": "AMINATA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01079747A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2017-02491",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD457483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.