- Practice location
- 1740 84TH St, Brooklyn, NY 11214-2825
- Phone
- 718-855-8584
- Fax
- —
- Last updated
- January 19, 2023
Modern Psychiatric Nurse Practitioner PC is a healthcare organization based in Brooklyn, NY. Modern Psychiatric Nurse Practitioner PC practices in Brooklyn, NY. The NPI Number for Modern Psychiatric Nurse Practitioner PC is 1518415983 and holds a License No. F401646 (NY). The current practice location address for Modern Psychiatric Nurse Practitioner PC is 1740 84TH St, Brooklyn, NY 11214-2825 and can be reached out via phone at 718-855-8584.
Provider Profile Details
- NPI Number
- 1518415983
- Provider Name
- Modern Psychiatric Nurse Practitioner PC
- Provider Entity Type
- Organization
- Address
- 1740 84TH St, Brooklyn, NY 11214-2825
- Phone Number
- 718-855-8584
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Brighid Gannon · Owner · 212-734-6621
- Provider Enumeration Date
- September 14, 2016
- Last Update Date
- January 19, 2023
- Certification Date
- January 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1740 84TH St
Brooklyn, NY 11214-2825 - City
- Brooklyn
- State
- New York
- Zip
- 11214-2825
- Phone Number
- 718-855-8584
Provider Business Mailing Address Details
- Address
- 191 Orchard St
Apt. 4D
New York, NY 10002-1415 - City
- New York
- State
- NY
- Zip
- 10002-1415
- Phone Number
- 718-757-0684
License Information
- License Number
- F401646
- License State
- NY
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Modern Psychiatric Nurse Practitioner PC?
The NPI number of Modern Psychiatric Nurse Practitioner PC is 1518415983. It was assigned on September 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Modern Psychiatric Nurse Practitioner PC?
Modern Psychiatric Nurse Practitioner PC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number F401646.
Where does Modern Psychiatric Nurse Practitioner PC practice?
The practice location is 1740 84TH St, Brooklyn, NY 11214-2825. The office can be reached at 718-855-8584 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518415983 directly on the NPPES registry website.