Individual provider Active NPI

Michael David Hargrove, M.D.

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1336114115
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
188349 Issued in NY
Practice address
3130 Grand Concourse
Suite B8
Bronx, NY 10458
Phone
(718) 365-5662
Fax
(718) 933-8208
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 188349 NY Primary

Addresses

Primary practice location

3130 Grand Concourse
Suite B8
Bronx, NY 10458

Mailing address

17 Merlin Avenue
Sleepy Hollow, NY 10591-1606
Phone (914) 490-8568

Other identifiers 1

IdentifierTypeStateIssuer
01623812MedicaidNY

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
I20050317001084 NY Practitioner - Psychiatry 8527013986 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Park Slope Center for Mental Health IncGroup PAC ID 8224936455, 4 clinicians
Michael Hargrove MD PLLCGroup PAC ID 9537515937, 7 clinicians

Practice addresses (Care Compare)

10 Claremont Ave
Mount Vernon, NY 10550-1609
Phone (914) 699-1600

257 15TH St
Brooklyn, NY 11215-4988
Phone (718) 788-2461

348 13TH St
Suite 203
Brooklyn, NY 11215-6179
Phone (718) 788-2461

3505 Hill Blvd
Suite K
Yorktown Heights, NY 10598-1210
Phone (914) 352-6116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188349NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth Benkel, MD, PLLC CurrentSince Mar 16, 2025 Accepting new patients
My Medical PC Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Oct 19, 2025 Accepting new patients
Michael Hargrove MD PLLC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Park Slope Center for Mental Health, Inc CurrentSince Jun 11, 2015 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
Middle Village Diagnostic Imaging PC Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

712 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-0466

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

50 W Hawthorne Ave
Fl 2
Valley Stream, NY 11580
Phone (718) 471-0200

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

3505 Hill Blvd
Ste K
Yorktown Heights, NY 10598
Phone (914) 245-3303

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1336114115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MERLIN AVENUE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911606",
            "telephone_number": "914-490-8568",
            "fax_number": "718-933-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "SUITE B8",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-365-5662",
            "fax_number": "718-933-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "188349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.