Individual provider Active NPI

Eileen Hopkins, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1194371708
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402796 Issued in NY
Practice address
120 Lawrence St
Brooklyn, NY 11201-3812
Phone
(718) 277-0386
NPI assigned
Aug 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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 402796 NY Primary

Addresses

Primary practice location

120 Lawrence St
Brooklyn, NY 11201-3812

Mailing address

120 Lawrence St
Brooklyn, NY 11201-3812

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
I20191120000669 NY Practitioner - Nurse Practitioner 1850723412 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Osier Health PCGroup PAC ID 6507229317, 12 clinicians

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101
Phone (646) 814-1530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
402796NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osier Health PC Psychiatric/Mental Health CurrentSince Sep 4, 2023 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Jun 20, 2022 Accepting new patients
Housing Works Services II, Inc CurrentSince Jan 11, 2020 Accepting new patients
Willow Health, Inc Past Accepting new patients

Locations

120 Lawrence St
Brooklyn, NY 11201
Phone (347) 473-7400

134 N 4th St
Brooklyn, NY 11249

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

169 Madison Ave
#15906
New York, NY 10016
Phone (646) 814-1530

169 Madison Ave
Ste 15906
New York, NY 10016

Interoperability endpoints

  • Direct secure messaging: ehopkins2072375@nychhc.direct-ci.com
  • Direct secure messaging: eileen.hopkins@549960591081476.direct.elationemr.com

Organizations & group practices 5

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": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1194371708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAWRENCE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAWRENCE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013812",
            "telephone_number": "718-277-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "EILEEN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.