Individual provider Active NPI

Ilana Brooke Kulman, M.D.

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1033319850
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
244793 Issued in NY
Practice address
140 W 86TH St
Suite A5
New York, NY 10024-4034
Phone
(646) 308-0506
Fax
(646) 514-8999
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 244793 NY Primary
Psychiatry Physician 2084P0800X 244793 NY

Addresses

Primary practice location

140 W 86TH St
Suite A5
New York, NY 10024-4034

Mailing address

140 W 86TH St
Suite A5
New York, NY 10024-4034
Phone (646) 308-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 29, 2018 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1033319850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 86TH ST",
            "address_2": "SUITE A5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244034",
            "telephone_number": "646-308-0506",
            "fax_number": "646-514-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 86TH ST",
            "address_2": "SUITE A5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244034",
            "telephone_number": "646-308-0506",
            "fax_number": "646-514-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULMAN",
        "first_name": "ILANA",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "244793",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.