Active NPI
Tasneem Hussainee Khan, M.D.
- Psychiatry Physician
- Scranton, PA
National Provider Identifier
1992794259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 065153L
- Practice address
- 501 S Washington Ave Ste 1000
Scranton, PA 18505-3814 - Phone
- (570) 941-0630
- Fax
- (570) 343-3923
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 065153L | PA | |
| Psychiatry Physician | 2084P0800X | 065153L | PA | Primary |
Addresses
Primary practice location
501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Mailing address
110 O Connor Dr
Moosic, PA 18507-1926
Phone (570) 371-1413
Other practice location 1
8901 Rockville Pike
Bethesda, MD 20889
Phone (301) 295-4000 ext. 0576
Other names 1
- Dr. Tasneem Hussainee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065153L | PA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1992794259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 O CONNOR DR",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071926",
"telephone_number": "570-371-1413",
"fax_number": "866-259-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S WASHINGTON AVE STE 1000",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053814",
"telephone_number": "570-941-0630",
"fax_number": "570-343-3923"
}
],
"practiceLocations": [
{
"address_1": "8901 Rockville Pike",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "20889",
"country_code": "US",
"telephone_number": "301-295-4000 x0576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "TASNEEM",
"middle_name": "HUSSAINEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "065153L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "065153L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TASNEEM",
"last_name": "HUSSAINEE",
"prefix": "DR.",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.