{"npi":"1700062247","type":"NPI-2","status":"active","name":{"display":"Jamestown Psychiatric PC","other":[],"organization_name":"JAMESTOWN PSYCHIATRIC PC","authorised_official":"Israr Abbasi"},"specialty":{"primary_taxonomy":"2084P0804X","primary_taxonomy_description":"Child & Adolescent Psychiatry","slug":"child-adolescent-psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":true,"state":"NY","license":"254621"}]},"addresses":[{"purpose":"LOCATION","street_1":"1465 FOOTE AVENUE EXT","city":"JAMESTOWN","state":"NY","postal_code":"147019383","country_code":"US","phone":"7165264041","fax":"7165264161"},{"purpose":"MAILING","street_1":"1465 FOOTE AVENUE EXT","city":"JAMESTOWN","state":"NY","postal_code":"147019383","country_code":"US","phone":"7165264041","fax":"7165264161"}],"license":{"state":"NY","number":"254621"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080225000063","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"0244314631"},{"enrlmt_id":"O20080422000392","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"0244314631"},{"enrlmt_id":"O20231102001179","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"0244314631"}]},"enumeration_date":"2008-01-15","last_updated":"2026-06-15","_meta":{"source":"NPPES","snapshot_date":"2026-06-15","doc_url":"https://findmynpi.com/api"}}