Individual provider Active NPI

Alex Arash Nourishad, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1740635408
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
295124 Issued in NY
Practice address
155 W 20TH St Apt 3D
New York, NY 10011-3631
Phone
(929) 925-7797
Fax
(929) 299-1663
NPI assigned
May 2, 2016
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 295124 NY Primary

Addresses

Primary practice location

155 W 20TH St Apt 3D
New York, NY 10011-3631

Mailing address

217 W 18TH St Unit 1690
New York, NY 10113-9666
Phone (929) 925-7797

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Nourishad MD PC Psychiatry CurrentSince Feb 4, 2024 Accepting new patients

Locations

217 W 18th St
Unit 1690
New York, NY 10113
Phone (929) 925-7797

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.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1740635408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W 18TH ST UNIT 1690",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101139666",
            "telephone_number": "929-925-7797",
            "fax_number": "929-299-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W 20TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113631",
            "telephone_number": "929-925-7797",
            "fax_number": "929-299-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURISHAD",
        "first_name": "ALEX",
        "middle_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "295124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.