Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMESTOWN PSYCHIATRIC PC
NPI 1700062247
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jamestown, NY

Active since January 15, 2008
1465 FOOTE AVENUE EXT, JAMESTOWN, NY 14701(716) 526-4041(716) 526-4161 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Mar 15, 2023 (2 updates tracked since 2023).

About Jamestown Psychiatric Pc NPPES

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

JAMESTOWN PSYCHIATRIC PC (NPI 1700062247) is a healthcare organization registered as a child & adolescent psychiatry in Jamestown, New York and active in the NPI registry since January 2008. The organization maintains 3 additional practice locations and lists Israr A Abbasi, President, as its authorized official.

NPPES Registry Identity

NPI1700062247
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameJAMESTOWN PSYCHIATRIC PC
Location Address1465 FOOTE AVENUE EXTJamestown, NY 14701-9383
Mailing Address1465 Foote Avenue ExtJamestown, NY 14701-9383 · (716) 526-4041 · Fax (716) 526-4161
Fax(716) 526-4161
Organization SubpartNo
Authorized OfficialIsrar A AbbasiPresident · (716) 665-0929
Enumeration DateJanuary 15, 2008
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1700062247 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 · 254621
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.
1465 FOOTE AVENUE EXT, Jamestown, NY 14701

Secondary Practice Locations 3

Location 1237 Delaware AveOlean, NY 14760-2601 · Phone (716) 790-8313 · Fax (716) 526-4161
Location 242 Clark StWarren, PA 16365-2524 · Phone (716) 526-4041
Location 320 Gillis AveRidgway, PA 15853-1604 · Phone (716) 526-4041 · Fax (716) 526-4161

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamestown Psychiatric Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Jamestown Psychiatric PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner12
Psychiatry7
Clinical Social Worker3
Clinical Psychologist1
Marriage and Family Therapist1
Mental Health Counselor1

Nearest to this location (20)

See all 25
Psychiatry
NPI 1518925437
1465 FOOTE AVENUE EXT
Jamestown, NY 14701
(716) 526-4041
✔ PECOSSame address
Nurse Practitioner
NPI 1750967709
1465 FOOTE AVENUE EXT
Jamestown, NY 14701
(716) 526-4041
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1578275244
1465 FOOTE AVENUE EXT
Jamestown, NY 14701
(716) 526-4041
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053687186
107 INSTITUTE ST # NA
Jamestown, NY 14701
(716) 484-4334
✔ PECOS✔ Accepts Medicare2.3 mi
Clinical Psychologist
NPI 1942291968
51 GLASGOW AVE
Jamestown, NY 14701
(716) 664-8611
✔ PECOS✔ Accepts Medicare2.4 mi
Psychiatry
NPI 1740334267
560 W 3RD ST
Jamestown, NY 14701
(716) 483-2603
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1669653952
305 E FAIRMOUNT AVE STE 7
Lakewood, NY 14750
(716) 483-2603
✔ PECOS✔ Accepts Medicare5.0 mi
Psychiatry
NPI 1982849659
305 E. FAIRMONT AVENUE UNIT 7
Lakewood, NY 14750
(716) 526-4041
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1255964268
305 E FAIRMOUNT AVE
Lakewood, NY 14750
(716) 526-4041
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1780299495
305 E FAIRMOUNT AVE
Lakewood, NY 14750
(716) 526-4041
✔ PECOS✔ Accepts Medicare5.0 mi
Psychiatry
NPI 1922261080
305 E FAIRMOUNT AVE
Lakewood, NY 14750
(716) 526-4041
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1215911979
356 MAIN ST E
Randolph, NY 14772
(716) 358-3636
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1396405460
42 CLARK ST
Warren, PA 16365
(716) 526-4041
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1649518655
135 N UNION ST
Olean, NY 14760
(716) 375-7500
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1275801979
237 DELAWARE AVE STE 14&15
Olean, NY 14760
(716) 790-8847
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1245199223
20 GILLIS AVE
Ridgway, PA 15853
(814) 772-5741
✔ PECOS51 mi
Psychiatry
NPI 1174559439
1100 MILLION DOLLAR HWY
Saint Marys, PA 15857
(814) 781-5420
✔ PECOS✔ Accepts Medicare58 mi
Mental Health Counselor
NPI 1467818237
463 WILLIAM ST
Buffalo, NY 14204
(716) 893-0062
✔ PECOS60 mi
Psychiatry
NPI 1871930701
8207 MAIN ST STE 7&8
Williamsville, NY 14221
(716) 626-4200
✔ PECOS✔ Accepts Medicare68 mi
Clinical Social Worker
NPI 1710902069
635 MAPLE AVE
Du Bois, PA 15801
(814) 375-6379
✔ PECOS✔ Accepts Medicare70 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jamestown Psychiatric PC's NPI number?

The NPI number for Jamestown Psychiatric PC is 1700062247. It was assigned to this organization in the NPPES registry on January 15, 2008.

Where is Jamestown Psychiatric PC located?

Jamestown Psychiatric PC is located at 1465 Foote Avenue Ext, Jamestown, NY 14701. The listed phone number is (716) 526-4041.

What is Jamestown Psychiatric PC's specialty?

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

Is Jamestown Psychiatric PC enrolled in Medicare?

Yes. Jamestown Psychiatric PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jamestown Psychiatric PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 6 Medicare specialties reassign their Medicare billing to Jamestown Psychiatric PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (12), Psychiatry (7) and Clinical Social Worker (3). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jamestown Psychiatric PC was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.