Organization Active NPI

Studio Health NP in Psychiatry and NP in Family Health PC

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1114731866
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STUDIO HEALTH NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC
Practice address
4595 Kings Hwy
Brooklyn, NY 11234-1433
Phone
(347) 991-0090
NPI assigned
Feb 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Robin Ebony Gibson-Simms, NPNPI 1609046564
Title
Owner
Phone
(347) 512-1057

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4595 Kings Hwy
Brooklyn, NY 11234-1433

Mailing address

1760 Utica Ave # 1160
Brooklyn, NY 11234-2121
Phone (347) 512-1057

Other names 1

  • STUDIO HEALTH FAMILY HEALTH NP PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1760 Utica Ave
Brooklyn, NY 11234

Practitioners & affiliated clinicians

Practitioners 1

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": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1114731866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 UTICA AVE # 1160",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342121",
            "telephone_number": "347-512-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341433",
            "telephone_number": "347-991-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO HEALTH NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "GIBSON-SIMMS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-512-1057",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STUDIO HEALTH FAMILY HEALTH NP PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.