Active NPI
Mastan Lokireddy
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 287405
- Practice address
- 1 Brookdale Plaza
Brooklyn, NY 11212 - Phone
- (718) 240-5000
- NPI assigned
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 287405 | NY | Primary |
Addresses
Primary practice location
1 Brookdale Plaza
Brooklyn, NY 11212
Mailing address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2857 Linden Blvd
Brooklyn, NY 11208-5126
Phone (718) 235-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Hope Psychiatric Wellness Services P.C. | Current | Accepting new patients | |
| Jamaica Psychiatric Services, PC | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| St John'S Medical Services PC | Current | Accepting new patients | |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Locations
102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000
2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Psychiatric Hospital Unit
- Jamaica, NY
- NPI 1427005065
-
- Psychiatry Physician
- Franklin Square, NY
- NPI 1487245544
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1124431440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-240-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOKIREDDY",
"first_name": "MASTAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "287405",
"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 Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.