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DR. TIA MANSOURI M.D.
NPI 1679935696
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY

Active since March 29, 2016PECOS Enrolled
461 1ST AVE, NEW YORK, NY 10016(125) 624-9912 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Jul 29, 2021, Mar 29, 2016 (3 updates tracked since 2016).

About Dr. Tia Mansouri M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIA MANSOURI M.D. (NPI 1679935696) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (300588) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679935696
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. TIA MANSOURICredential: M.D.
Location Address461 1ST AVENew York, NY 10016-9102
Mailing Address1 Park Ave Fl 7New York, NY 10016-5818 · (646) 754-5000
Phone(125) 624-9912
Sole ProprietorNo
Enumeration DateMarch 29, 2016
Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1679935696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 300588
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
461 1ST AVE, New York, NY 10016
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tia Mansouri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLGA JABLONKA
Psychologist
461 1ST AVE
NEW YORK, NY 10016
New York County (212) 561-6061
COOPER D GIESEN DDS
Dentist
461 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-5555
DR. AMANDA LAVENTURE PSYD
Psychologist (Clinical)
461 1ST AVE
NEW YORK, NY 10016
New York County (718) 245-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tia Mansouri's NPI number?

The NPI number for Tia Mansouri is 1679935696. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Tia Mansouri located?

Tia Mansouri practices at 461 1st Ave, New York, NY 10016. The listed phone number is (125) 624-9912.

What is Tia Mansouri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Tia Mansouri enrolled in Medicare?

Yes. Tia Mansouri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tia Mansouri was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.