Active NPI
Thomas L Van Aken, MD
- Psychiatry Physician
- Fishkill, NY
National Provider Identifier
1831172139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 183853
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01227650 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-42337 | IA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Behavioral Medicine | Psychiatry | Current | Accepting new patients |
| Georgia TRD Clinic, LLC | Psychiatry | Past | 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.
-
- Psychiatry Physician
- Bogart, GA
- NPI 1902026347
-
- Psychiatry Physician
- Watkinsville, GA
- NPI 1376222075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.