Individual provider Active NPI

Barbara Lois Pisick, M.ED. RN CS

  • Adult Psychiatric/Mental Health Registered Nurse
  • New York, NY
National Provider Identifier
1275615122
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
154645 Issued in NY
Practice address
53 A East 82ND Street
New York, NY 10028
Phone
(212) 734-9792
Fax
(718) 784-4366
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 154645 NY
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 154645 NY Primary

Addresses

Primary practice location

53 A East 82ND Street
New York, NY 10028

Mailing address

3919 45TH St
Sunnyside, NY 11104-2103

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
I20110329000439 NY Practitioner - Certified Clinical Nurse Specialist (CNS) 8022291095 Practice locations: Sunnyside, NY

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3919 45TH St
Sunnyside, NY 11104-2103
Phone (917) 596-2313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
154645NYMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1275615122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 45TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 A EAST 82ND STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-734-9792",
            "fax_number": "718-784-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISICK",
        "first_name": "BARBARA",
        "middle_name": "LOIS",
        "name_prefix": "Ms.",
        "credential": "M.ED. RN CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "154645",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "154645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.