Active NPI
Pantea Farahmand, MD
- Child & Adolescent Psychiatry Physician
- New York, NY
National Provider Identifier
1710323506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 284051
- Practice address
- 245 5TH Ave FL 3
New York, NY 10016-8728 - Phone
- (347) 952-7490
- NPI assigned
- May 20, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 284051 | NY | |
| Psychiatry Physician | 2084P0800X | 276798 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 284051 | NY | Primary |
Addresses
Primary practice location
245 5TH Ave FL 3
New York, NY 10016-8728
Mailing address
200 E 82ND St
New York, NY 10028-2746
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-1935
Phone (860) 679-2000
Other practice location 2
774 Albany St
Boston, MA 02118
Phone (617) 534-4681
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pfarahmand492031@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284051 | NY | MD | Psychiatry Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- pfarahmand492031@nyumc.direct-ci.com
- pfarahmand844249@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1710323506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 82ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728",
"telephone_number": "347-952-7490"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060301935",
"country_code": "US",
"telephone_number": "860-679-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "774 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-534-4681",
"fax_number": "857-288-2253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARAHMAND",
"first_name": "PANTEA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "284051",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "276798",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "284051",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pfarahmand492031@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1 Park Ave Fl 7",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100165818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.