Individual provider Active NPI

Humayun Kabir, PMHNP

  • Psychiatry Physician
  • Chesapeake, VA
National Provider Identifier
1821638438
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0024178673 Issued in VA
Practice address
2117 Smith Ave Ste B
Chesapeake, VA 23320-2519
Phone
(757) 547-9007
NPI assigned
Jan 11, 2020
Last updated
Jan 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2020

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 0024178673 VA Primary

Addresses

Primary practice location

2117 Smith Ave Ste B
Chesapeake, VA 23320-2519

Mailing address

531 Biltmore Dr
Virginia Beach, VA 23454-3457
Phone (757) 839-3102

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chesapeake

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217002431 VA Practitioner - Nurse Practitioner 9234501388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfield Psychological Assoc.Group PAC ID 0244268654, 9 clinicians

Practice addresses (Care Compare)

5265 Providence Rd
Suite 500
Virginia BCH, VA 23464-4210
Phone (757) 467-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychological Services Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Fairfield Psychological Assoc. Multi-Specialty CurrentSince Nov 15, 2023 Accepting new patients

Locations

2117 Smith Ave
Ste B
Chesapeake, VA 23320
Phone (757) 547-9007

5265 Providence Rd
Ste 500
Virginia Beach, VA 23464
Phone (757) 354-5379

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, 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": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1821638438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 BILTMORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543457",
            "telephone_number": "757-839-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SMITH AVE STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202519",
            "telephone_number": "757-547-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABIR",
        "first_name": "HUMAYUN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0024178673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chesapeake",
            "affiliation": "N",
            "address_1": "2117 Smith Ave Ste B",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233202519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.