Active NPI
Abbas Ispahani, MD
- Psychiatry Physician
- Auburn, NY
National Provider Identifier
1710192521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 169842
- Practice address
- 146 North St
Auburn, NY 13021-1831 - Phone
- (315) 253-0341
- Fax
- (315) 253-1687
- NPI assigned
- May 14, 2007
- Last updated
- Mar 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 169842 | NY | Primary |
Addresses
Primary practice location
146 North St
Auburn, NY 13021-1831
Mailing address
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Practice Group, Dept. of Psych | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- aispahani@hiemail.healtheconnections.org
- ia_tangoren_md@hiemail.healtheconnections.org
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1710929047
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1710192521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 HOMER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451206",
"telephone_number": "607-756-3770",
"fax_number": "607-756-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 NORTH ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211831",
"telephone_number": "315-253-0341",
"fax_number": "315-253-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISPAHANI",
"first_name": "ABBAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "169842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.