Active NPI
Anahita Bassir Nia, M.D.
- Psychiatry Physician
- New Haven, CT
National Provider Identifier
1861743403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 60800
- Practice address
- 425 George St
New Haven, CT 06511 - Phone
- (212) 420-2390
- NPI assigned
- Sep 22, 2012
- Last updated
- Jul 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Psychiatry Physician | 2084P0800X | 60800 | CT | Primary |
Addresses
Primary practice location
425 George St
New Haven, CT 06511
Mailing address
425 George St
New Haven, CT 06511-5410
Phone (203) 688-3182
Other practice location 1
1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (203) 781-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004041000 | Medicaid | CT | |
| 008003745 | Medicaid | CT | |
| 004217099 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- abassirnia399547@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1861743403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 GEORGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115410",
"telephone_number": "203-688-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 GEORGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "212-420-2390"
}
],
"practiceLocations": [
{
"address_1": "1 Long Wharf Dr",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115991",
"country_code": "US",
"telephone_number": "203-781-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASSIR NIA",
"first_name": "ANAHITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-22",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "60800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004041000",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008003745",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004217099",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.