Individual provider Active NPI

Faiza Naseem Qureshi, M. D.

  • Psychiatry Physician
  • Whitfield, MS
National Provider Identifier
1780766295
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17414 Issued in MS
Practice address
3550 Highway 468 West
Whitfield, MS 39193-0157
Phone
(601) 351-8000
Fax
(601) 351-8301
NPI assigned
Oct 20, 2006
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 17414 MS Primary

Addresses

Primary practice location

3550 Highway 468 West
Whitfield, MS 39193-0157

Mailing address

2500N State St
JMM Room 2525
Jackson, MS 39216-4500
Phone (601) 984-6426

Other identifiers 1

IdentifierTypeStateIssuer
023808225MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, LA, CA, ME5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20080326000538 MS Practitioner - Psychiatry 5193801520 Reassigns benefits to 1 organization
I20170512000476 TX Practitioner - Psychiatry 5193801520
I20210804003991 LA Practitioner - Psychiatry 5193801520
I20220921003696 CA Practitioner - Psychiatry 5193801520 Reassigns benefits to 1 organization
I20240304001848 ME Practitioner - Psychiatry 5193801520 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2012 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Acadia Hospital Corp CurrentSince Jan 7, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2012 Accepting new patients
Horizon Connections Current Accepting new patients
Elevate Healthcare - Irving LLC PastSince Jun 1, 2021 Accepting new patients
Elevate Healthcare - Longview LLC PastSince Jun 27, 2021 Accepting new patients
Elevate Healthcare - Mesquite LLC PastSince Jun 1, 2021 Accepting new patients

Locations

6167 Bristol Pkwy
Ste 260
Culver City, CA 90230
Phone (424) 331-5604

150 S Los Robles Ave
Ste 620
Pasadena, CA 91101
Phone (626) 469-3717

155 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (254) 835-3911

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Rm 2525
Jackson, MS 39216
Phone (601) 984-1530

Organizations & group practices 8

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1780766295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500N STATE ST",
            "address_2": "JMM ROOM 2525",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-6426",
            "fax_number": "601-984-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 WEST",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "FAIZA",
        "middle_name": "NASEEM",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "17414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023808225",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitfield, MS

Sources for this page

Verify at the official NPI Registry.