Active NPI
Adelia Sazonov, D.O.
- Psychiatry Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 287305
- Practice address
- 8207 Main St Ste 7&8
Williamsville, NY 14221-6060 - Phone
- (716) 626-4200
- Fax
- (716) 626-4201
- NPI assigned
- Jun 1, 2013
- Last updated
- Jan 15, 2020
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 287305 | NY | Primary |
Addresses
Primary practice location
8207 Main St Ste 7&8
Williamsville, NY 14221-6060
Mailing address
3396 Driftwood Rd
Bemus Point, NY 14712-9705
Other practice location 1
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4221
Other practice location 2
400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-1249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000
515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown Psychiatric PC | Psychiatry | Current | Accepting new patients |
| Olean General Hospital | Current | Accepting new patients | |
| Brooks-TLC Hospital System, Inc. | Current | Accepting new patients | |
| Dent Neurologic Group LLP | Psychiatry | Current | Accepting new patients |
| Olean General Hospital | Current | Accepting new patients | |
| County of Chautauqua - a Mun Corp | Current | Accepting new patients | |
| County of Chautauqua - a Mun Corp | Current | Accepting new patients | |
| Olean General Hospital | Past | Accepting new patients | |
| Olean General Hospital | Past | Accepting new patients |
Locations
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
34 Commercial St
Gowanda, NY 14070
Phone (716) 532-3377
1465 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 526-4041
200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330
3 N Erie St
Mayville, NY 14757
515 Main St
Olean, NY 14760
Phone (716) 373-2600
515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993
4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361
3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800
Interoperability endpoints
- adelia.sazonov@dent.eclinicaldirectplus.com
Organizations & group practices 10
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.
-
dba Dent Neurologic Institute
- Neurology Physician
- Amherst, NY
- NPI 1497850911
Psychiatry
-
- General Acute Care Hospital
- Dunkirk, NY
- NPI 1215917224
-
dba Chautauqua County Department of Mental Hygiene
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jamestown, NY
- NPI 1902897374
-
- Child & Adolescent Psychiatry Physician
- Jamestown, NY
- NPI 1700062247
-
- Ambulance
- Mayville, NY
- NPI 1992244404
-
dba Foothills Medical Group
- General Practice Physician
- Olean, NY
- NPI 1033499017
-
- Psychiatry Physician
- Ridgway, PA
- NPI 1003505132
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Psychiatric Hospital Unit
- Olean, NY
- NPI 1700825262
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1871930701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3396 DRIFTWOOD RD",
"city": "BEMUS POINT",
"state": "NY",
"postal_code": "147129705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8207 MAIN ST STE 7&8",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216060",
"telephone_number": "716-626-4200",
"fax_number": "716-626-4201"
}
],
"practiceLocations": [
{
"address_1": "462 Grider St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142153021",
"country_code": "US",
"telephone_number": "716-898-4221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Main St",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "NY",
"postal_code": "145691025",
"country_code": "US",
"telephone_number": "585-786-1249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAZONOV",
"first_name": "ADELIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-01",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "287305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.