Individual provider Active NPI

Inesa Kichkimet, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, NY
National Provider Identifier
1164018313
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403339-01 Issued in NY
Practice address
5 Chester CT
Huntington, NY 11743-5836
Phone
(646) 662-1556
NPI assigned
Dec 11, 2020
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11011156 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403339-01 NY Primary

Addresses

Primary practice location

5 Chester CT
Huntington, NY 11743-5836

Mailing address

5 Chester CT
Huntington, NY 11743-5836
Phone (646) 662-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331002260 NY Practitioner - Nurse Practitioner 7315354792 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011156FLMDPsychiatric/Mental Health Nurse Practitioner
F403339-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 24, 2022 Accepting new patients
Charles Evans Center, Inc CurrentSince Mar 11, 2021 Accepting new patients
Charles Evans Center, Inc. Current Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1164018313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHESTER CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435836",
            "telephone_number": "646-662-1556",
            "fax_number": "631-203-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHESTER CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435836",
            "telephone_number": "646-662-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICHKIMET",
        "first_name": "INESA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11011156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403339-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.