NPIMap

Organization Active NPI

Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1043248776
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013758 Issued in NY
Legal business name
KNAPP STREET PSYCHIATRY, PC
Practice address
2433 Knapp St Ste 306
Brooklyn, NY 11235-1005
Phone
(888) 515-3834
Fax
(855) 688-6746
NPI assigned
Jun 29, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Larry Durlofsky, DONPI 1720169188
Title
Owner
Phone
(888) 515-3834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 013758 NY Primary
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Physician Assistant 363A00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

2433 Knapp St Ste 306
Brooklyn, NY 11235-1005

Mailing address

PO Box 68048
Newark, NJ 07101-8085
Phone (888) 515-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001760 NY Part B Supplier - Clinic/Group Practice 1153212998 Receives reassigned benefits from 439 practitioners
Practice locations: Brooklyn, NY; Livingston, NY; Long Beach, NY; Medford, NY; Middletown, NY; Mohegan Lake, NY; Monsey, NY; Mt Vernon, NY…

National Provider Directory

National Provider Directory

Locations

3220 Henry Hudson Pkwy
Bronx, NY 10463
Phone (718) 514-2000

2433 Knapp St
Ste 306
Brooklyn, NY 11235

5110 12th Ave
Brooklyn, NY 11219
Phone (718) 854-8370

25 Schoenfeld Blvd
Patchogue, NY 11772
Phone (631) 289-7700

150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 576-3330

Practitioners & affiliated clinicians

Practitioners 535

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 535

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1043248776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68048",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018085",
            "telephone_number": "888-515-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 KNAPP ST STE 306",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351005",
            "telephone_number": "888-515-3834",
            "fax_number": "855-688-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAPP STREET PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "DURLOFSKY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-515-3834",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013758",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.