Individual provider Active NPI

Nicholas Stamer Stevens, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1285990960
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
274239 Issued in NY
Practice address
1 Gustave L Levy PL
Box 1230 MSSM Department of Psychiatry
New York, NY 10029-6500
Phone
(212) 241-5637
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 663692227 NY
Psychiatry Physician 2084P0800X 274239 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Box 1230 MSSM Department of Psychiatry
New York, NY 10029-6500

Mailing address

5 E 17TH St FL 2
New York, NY 10003-1949
Phone (929) 260-2994

Other practice location 1

5 E 17th St Fl 2
New York, NY 10003-1949
Phone (212) 989-2990

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002065 NY Practitioner - Psychiatry 9032409529 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
The Fifth Avenue Counseling Center, Inc.Group PAC ID 9739246125, 24 clinicians

Practice addresses (Care Compare)

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

5 E 17TH St
FL 2
New York, NY 10003-1949
Phone (212) 989-2990

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
274239NYMDPsychiatry Physician
663692227NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 15, 2023 Accepting new patients
Next Step Psychiatry PLLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 16, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 16, 2021 Accepting new patients
New York University CurrentSince Jan 15, 2023 Accepting new patients
The Fifth Avenue Counseling Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

253 W 28th St
Fl 6
New York, NY 10001
Phone (917) 451-7018

5 E 17th St
Fl 2
New York, NY 10003
Phone (212) 989-2900

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 32nd St
New York, NY 10016
Phone (212) 263-8610

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nstevens545959@nyumc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1285990960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 17TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031949",
            "telephone_number": "929-260-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1230 MSSM DEPARTMENT OF PSYCHIATRY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 E 17th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031949",
            "country_code": "US",
            "telephone_number": "212-989-2990",
            "fax_number": "212-792-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "NICHOLAS",
        "middle_name": "STAMER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "663692227",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "274239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.