Individual provider Active NPI

Kristin Arden, APRN, PMHNP

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1003460742
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
402779 Issued in NY
Practice address
181 Canal St FL 4
New York, NY 10013-4512
Phone
(212) 966-9537
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 402779 NY Primary

Addresses

Primary practice location

181 Canal St FL 4
New York, NY 10013-4512

Mailing address

100 S 4TH St Apt 1F
Brooklyn, NY 11249-8638
Phone (323) 253-7599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
402779NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revcore Recovery Center of Manhattan, LLC PastSince May 1, 2021 Accepting new patients
Revcore Recovery Center of Manhattan PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1003460742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112498638",
            "telephone_number": "323-253-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CANAL ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134512",
            "telephone_number": "212-966-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDEN",
        "first_name": "KRISTIN",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "402779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.