NPIMap

Organization Active NPI

Shahid Ali NP Psychiatry and Family Medicine PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chili, NY
National Provider Identifier
1851736466
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
400972 Issued in NY
Legal business name
SHAHID ALI NP PSYCHIATRY AND FAMILY MEDICINE PC
Practice address
4370 Buffalo Rd
North Chili, NY 14514-1206
Phone
(585) 683-8515
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shahid Ali, NP, NPP
Title
Owner
Phone
(585) 683-8515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 400972 NY Primary
Primary Care Clinic/Center 261QP2300X 333755 NY

Addresses

Primary practice location

4370 Buffalo Rd
North Chili, NY 14514-1206

Mailing address

4370 Buffalo Rd
North Chili, NY 14514-1206
Phone (585) 683-8515

Other identifiers 1

IdentifierTypeStateIssuer
DD5531OtherNYMEDICARE ID TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

4370 Buffalo Rd
North Chili, NY 14514
Phone (585) 466-4647

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1851736466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 BUFFALO RD",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141206",
            "telephone_number": "585-683-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 BUFFALO RD",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141206",
            "telephone_number": "585-683-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID ALI NP PSYCHIATRY AND FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-683-8515",
        "authorized_official_credential": "NP, NPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "400972",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "333755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "DD5531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chili, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.