Organization Active NPI

Advanced Psychiatric Care PC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1043341324
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208942 Issued in NY
Legal business name
ADVANCED PSYCHIATRIC CARE PC
Practice address
99 Brighton 11 Street
Brooklyn, NY 11235
Phone
(718) 238-2285
Fax
(718) 332-7412
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Anna Kharitonova, DONPI 1619032539
Title
Physician
Phone
(718) 238-2285

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 208942 NY Primary

Addresses

Primary practice location

99 Brighton 11 Street
Brooklyn, NY 11235

Mailing address

345 82ND Street
Brooklyn, NY 11209
Phone (718) 238-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060210000355 NJ Part B Supplier - Clinic/Group Practice 4486669595 Receives reassigned benefits from 1 practitioner
Practice locations: Roselle, NJ
O20071024000233 NY Part B Supplier - Clinic/Group Practice 4486669595 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1043341324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 82ND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-238-2285",
            "fax_number": "718-332-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BRIGHTON 11 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-238-2285",
            "fax_number": "718-332-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "KHARITONOVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-238-2285",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208942",
            "primary": true
        }
    ],
    "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 Oct 15, 2007; 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.