Individual provider Active NPI

Yasmeen Kirmani, MD

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1760419667
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME90501 Issued in FL
Practice address
4115 Audubon Oaks Cir
Apt. 101
Lakeland, FL 33809-5943
Phone
(516) 997-3487
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 221600 NY
Psychiatry Physician 2084P0800X ME90501 FL Primary

Addresses

Primary practice location

4115 Audubon Oaks Cir
Apt. 101
Lakeland, FL 33809-5943

Mailing address

4115 Audubon Oaks Cir
Apt. 101
Lakeland, FL 33809-5943
Phone (516) 997-3487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001238 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5597741405 Reassigns benefits to 1 organization
Practice locations: East Islip, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health CurrentSince Aug 29, 2014 Accepting new patients
Nys Office of Mental Health CurrentSince Aug 29, 2014 Accepting new patients

Locations

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1760419667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 AUDUBON OAKS CIR",
            "address_2": "APT. 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338095943",
            "telephone_number": "516-997-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 AUDUBON OAKS CIR",
            "address_2": "APT. 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338095943",
            "telephone_number": "516-997-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRMANI",
        "first_name": "YASMEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "221600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME90501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.