Active NPI
Shaheen Ara Alam, M.D.
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 296829
- Practice address
- 1545 Atlantic Ave
Brooklyn, NY 11213-1122 - Phone
- (718) 613-4931
- NPI assigned
- May 2, 2012
- Last updated
- Nov 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 296829 | NY | Primary |
Addresses
Primary practice location
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Mailing address
6728 Utopia Pkwy Apt 2F
Fresh Meadows, NY 11365-3452
Phone (917) 238-4732
Other practice location 1
3000 Arlington Ave
Graduate Medical Education, MS 1050
Toledo, OH 43614-2595
Phone (419) 383-5695
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | salam205988@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296829 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Doctor on Demand Professionals P C | Psychiatry | Current | Accepting new patients |
| Interfaith Psychiatry Services, P.C. | Psychiatry | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871
5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622
5800 Monroe St
Bldg G
Sylvania, OH 43560
Phone (419) 824-6350
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
3000 Arlington Ave
#1050
Toledo, OH 43614
Phone (419) 383-1940
Interoperability endpoints
- salam205988@direct.promedica.org
- salam205988@epicdirect.promedica.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
dba OBH Psychiatry & Mental Health
- Psychiatry Physician
- Brooklyn, NY
- NPI 1487958559
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
OH, Psychiatry
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1851659312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6728 UTOPIA PKWY APT 2F",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653452",
"telephone_number": "917-238-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131122",
"telephone_number": "718-613-4931"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_2": "Graduate Medical Education, MS 1050",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-5695",
"fax_number": "419-383-3031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALAM",
"first_name": "SHAHEEN",
"middle_name": "ARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2023-11-03",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "296829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "salam205988@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.