Active NPI
Renee Family Health and Psychiatric Nurse Practitioner Office PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1306570171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RENEE FAMILY HEALTH AND PSYCHIATRIC NURSE PRACTITIONER OFFICE PLLC
- Practice address
- 12 Jerome St Lowr Level
Brooklyn, NY 11207-2217 - Phone
- (718) 362-1411
- Fax
- (718) 362-1651
- NPI assigned
- Jul 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Denobrega, FNP
- Title
- Owner
- Phone
- (718) 362-1411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
12 Jerome St Lowr Level
Brooklyn, NY 11207-2217
Mailing address
928 N 4TH St
Reading, PA 19601-2110
Phone (718) 362-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03805218 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251106000202 | NY | Part B Supplier - Clinic/Group Practice | 2860982014 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1316263882
NY
-
- Pastoral Counselor
- Reading, PA
- NPI 1639043623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1306570171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 N 4TH ST",
"city": "READING",
"state": "PA",
"postal_code": "196012110",
"telephone_number": "718-362-1411",
"fax_number": "718-362-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 JEROME ST LOWR LEVEL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112072217",
"telephone_number": "718-362-1411",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEE FAMILY HEALTH AND PSYCHIATRIC NURSE PRACTITIONER OFFICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-15",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "DENOBREGA",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-362-1411",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03805218",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.