Active NPI
Bethany Alyse Hasson
- Occupational Therapist
- Ashville, NY
National Provider Identifier
1831688274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018279
- Practice address
- 2615 N Maple Ave
Ashville, NY 14710-9553 - Phone
- (716) 763-1801
- NPI assigned
- May 1, 2018
- Last updated
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 018279 | NY | Primary |
Addresses
Primary practice location
2615 N Maple Ave
Ashville, NY 14710-9553
Mailing address
1286 Southwestern Dr
Jamestown, NY 14701-9430
Phone (716) 338-6646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018279-1 | Other | NY | NEW YORK STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018279 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1831688274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 SOUTHWESTERN DR",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147019430",
"telephone_number": "716-338-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 N MAPLE AVE",
"city": "ASHVILLE",
"state": "NY",
"postal_code": "147109553",
"telephone_number": "716-763-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSON",
"first_name": "BETHANY",
"middle_name": "ALYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "018279-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.