Individual provider Active NPI

Brandon Michael Collings, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1013644152
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404247 Issued in NY
Practice address
425 Robinson St
Binghamton, NY 13904-1735
Phone
(607) 724-1391
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404247 NY Primary

Addresses

Primary practice location

425 Robinson St
Binghamton, NY 13904-1735

Mailing address

425 Robinson St
Binghamton, NY 13904-1735

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL GBHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001852 NY Practitioner - Nurse Practitioner 3971970765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacqueline Ponticiello Psychiatric NP, PLLCGroup PAC ID 2567990567, 10 clinicians
Supportive Care Psychiatry of Ny PCGroup PAC ID 4981076247, 15 clinicians

Practice addresses (Care Compare)

1901 Vestal Pkwy E
Suite 2W
Vestal, NY 13850-1966
Phone (607) 341-4950

7810 164TH St
Fresh Meadows, NY 11366-1229
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404247NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline Ponticiello Psychiatric NP, PLLC Psychiatric/Mental Health CurrentSince Nov 29, 2024 Accepting new patients
Supportive Care Psychiatry of Ny PC CurrentSince May 15, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

7810 164th St
Fresh Meadows, NY 11366
Phone (516) 641-8482

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

1901 Vestal Pkwy E
Ste 2W
Vestal, NY 13850
Phone (607) 341-4950

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1013644152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735",
            "telephone_number": "607-724-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGS",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GBHC",
            "affiliation": "N",
            "address_1": "425 Robinson St",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139041735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.