Individual provider Active NPI

Irina Zeylikman, LCSW-R

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1093728917
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R069267 Issued in NY
Practice address
1414 Avenue P
Brooklyn, NY 11229-1110
Phone
(917) 208-4037
Fax
(718) 332-5025
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R069267 NY Primary

Addresses

Primary practice location

1414 Avenue P
Brooklyn, NY 11229-1110

Mailing address

35 Corbin PL
Brooklyn, NY 11235-4801
Phone (917) 208-4037

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000324 NY Practitioner - Clinical Social Worker 8820076300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

225 Broadway
Suite 1605
New York, NY 10007-3756
Phone (212) 693-4010

35 Corbin PL
Brooklyn, NY 11235-4801

35 Corbin Place
Brooklyn, NY 11235-4801

7 Corbin PL
Unit C1
Brooklyn, NY 11235-4801
Phone (718) 331-3800

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
86.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R069267NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Irina Zeylikman Psychotherapy LCSW, P.C. Clinical CurrentSince Sep 10, 2021 Accepting new patients
New York Psychiatric Services, P.C. CurrentSince Mar 1, 2014 Accepting new patients
New Horizon Medical P.C. PastSince Aug 1, 1999 Accepting new patients
Brooklyn Care Medical PC PastSince Oct 1, 2002 Accepting new patients

Locations

1414 Avenue P
Brooklyn, NY 11229
Phone (718) 336-2166

10251 Queens Blvd
Forest Hills, NY 11375
Phone (718) 459-2200

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1093728917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CORBIN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354801",
            "telephone_number": "917-208-4037",
            "fax_number": "917-332-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291110",
            "telephone_number": "917-208-4037",
            "fax_number": "718-332-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEYLIKMAN",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.