DC NP Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DC NP PSYCHIATRY PC

Practice address

142 Joralemon St RM 1
Brooklyn, NY 11201-4747

Phone

(929) 527-0474

Fax

(929) 489-3559

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Svetlana Kibrik

Title

Practice Manager

Phone

(917) 769-9986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donovan George Cameron, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1003409038
  Medicare reassignment
• Lavern Wilson-Dennis

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1386876373
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1316648389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 NORFOLK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352306",
            "telephone_number": "929-527-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST RM 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "929-527-0474",
            "fax_number": "929-489-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC NP PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "KIBRIK",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "917-769-9986"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Marie De Bartolo, DDS

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.