Individual provider Active NPI

Thomas L Van Aken, MD

  • Psychiatry Physician
  • Fishkill, NY
National Provider Identifier
1831172139
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
183853 Issued in NY
Practice address
798 Route 9
Ste a
Fishkill, NY 12524-1394
Phone
(845) 896-2544
Fax
(845) 896-2238
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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 183853 NY Primary
Psychiatry Physician 2084P0800X MD-42337 IA

Addresses

Primary practice location

798 Route 9
Ste a
Fishkill, NY 12524-1394

Mailing address

PO Box 424
Garrison, NY 10524-0424
Phone (845) 896-2544

Other identifiers 1

IdentifierTypeStateIssuer
01227650MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240816001635 GA Practitioner - Psychiatry 8325207236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-42337IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Behavioral Medicine Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Georgia TRD Clinic, LLC Psychiatry PastSince Jul 16, 2023 Accepting new patients

Locations

1361 Jennings Mill Rd
Ste 201
Watkinsville, GA 30677
Phone (706) 316-1908

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1831172139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105240424",
            "telephone_number": "845-896-2544",
            "fax_number": "845-897-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROUTE 9",
            "address_2": "STE A",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241394",
            "telephone_number": "845-896-2544",
            "fax_number": "845-896-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AKEN",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "183853",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-42337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01227650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.