Individual provider Active NPI

Katherine Soyoung Moon, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Yorktown Heights, NY
National Provider Identifier
1144029570
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406669 Issued in NY
Practice address
3505 Hill Blvd Ste K
Yorktown Heights, NY 10598-1210
Phone
(914) 352-6116
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406669 NY Primary

Addresses

Primary practice location

3505 Hill Blvd Ste K
Yorktown Heights, NY 10598-1210

Mailing address

3505 Hill Blvd
Yorktown Heights, NY 10598-1283
Phone (914) 352-6116

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513001839 NY Practitioner - Nurse Practitioner 5799203824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians
Medagent CorpGroup PAC ID 4789900796, 27 clinicians

Practice addresses (Care Compare)

45 Ludlow St
Suite 402
Yonkers, NY 10705-1949
Phone (914) 570-9000

7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Hargrove MD PLLC CurrentSince Aug 14, 2025 Accepting new patients
Medagent Corp CurrentSince Feb 24, 2025 Accepting new patients
Sehwan Medical Care PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

7 Croton Ave
Cortlandt Mnr, NY 10567
Phone (914) 962-5800

45 Ludlow St
Ste 402
Yonkers, NY 10705
Phone (914) 570-9000

3505 Hill Blvd
Ste K
Yorktown Heights, NY 10598
Phone (914) 245-3303

Organizations & group practices 3

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1144029570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981283",
            "telephone_number": "914-352-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD STE K",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981210",
            "telephone_number": "914-352-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "KATHERINE",
        "middle_name": "SOYOUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.