Individual provider Active NPI

Karuna Mizusaki, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1154098283
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405014 Issued in NY
Practice address
825 7TH Ave
New York, NY 10019-6014
Phone
(212) 696-1550
Fax
(929) 273-7813
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 405014 NY Primary

Addresses

Primary practice location

825 7TH Ave
New York, NY 10019-6014

Mailing address

825 7TH Ave
New York, NY 10019-6014

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
I20240718003767 NY Practitioner - Nurse Practitioner 6406392083 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
405014NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Alternatives for Children Inc. CurrentSince Jul 1, 2024 Accepting new patients
New Alternatives for Children Inc. PastSince Aug 1, 2021 Accepting new patients
Petrychenko Physician PC PastSince Aug 6, 2023 Accepting new patients
New Alternatives for Children, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

37 W 26th St
Fl 6
New York, NY 10010
Phone (212) 696-1550

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1154098283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196014",
            "telephone_number": "212-696-1550",
            "fax_number": "929-273-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUSAKI",
        "first_name": "KARUNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.