DR. TIA MANSOURI M.D.
NPI 1679935696
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tia Mansouri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tia Mansouri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Tia Mansouri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tia Mansouri reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tia Mansouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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.
# Dr. Tia Mansouri, M.D. · NPI 1679935696
Child & Adolescent Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 29, 2016.
## Identity
- **NPI:** 1679935696 (Entity type: Individual)
- **Enumerated:** March 29, 2016
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 300588 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 461 1ST AVE, New York, NY 10016-9102
- **Phone:** (125) 624-9912
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679935696) · Data from the CMS NPPES public registry.