NPIMap

Individual provider Active NPI

Mark Slaven, MD

  • Psychiatry Physician
  • Oneida, NY
National Provider Identifier
1750498416
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1964691 Issued in NY
Practice address
607 Seneca St
Oneida, NY 13421-2627
Phone
(315) 363-8050
Fax
(315) 363-9286
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 1964691 NY Primary

Addresses

Primary practice location

607 Seneca St
Oneida, NY 13421-2627

Mailing address

1076 N Side Shopping Center
Oneida, NY 13421-0059
Phone (315) 363-8050

Other practice location 1

165 Main St
Oneida, NY 13421-1648
Phone (315) 363-9281

Other identifiers 1

IdentifierTypeStateIssuer
01613749MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000858 NY Practitioner - Psychiatry 2062443567 Reassigns benefits to 2 organizations
Practice locations: Oneida, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nysarc Inc.Group PAC ID 6608869193, 15 clinicians

Practice addresses (Care Compare)

165 Main St
Oneida, NY 13421-1648
Phone (315) 363-9281

200 W Dominick St
Rome, NY 13440-5846
Phone (315) 339-6536

305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295

5635 State Route 31
Verona, NY 13478-3705
Phone (315) 363-9253

6007 Fair Lakes Rd
Suite 400
East Syracuse, NY 13057-1253
Phone (315) 234-5730

701 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281

719 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1964691NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Apr 1, 1996 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
Oneida Medical Associates PLLC Past Accepting new patients
Madison Cortland Chapter, Nysarc, Inc Past Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

44 Holland Ave
Albany, NY 12208
Phone (518) 473-8234

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

5 Tower Dr
Fulton, NY 13069
Phone (315) 598-6120

701 Lenox Ave
Oneida, NY 13421
Phone (315) 363-3389

165 Main St
Oneida, NY 13421
Phone (315) 363-1059

101 W Liberty St
Ofc Of
Rome, NY 13440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1750498416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 N SIDE SHOPPING CENTER",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134210059",
            "telephone_number": "315-363-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212627",
            "telephone_number": "315-363-8050",
            "fax_number": "315-363-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Main St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134211648",
            "country_code": "US",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1964691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.