Individual provider Active NPI

Michaellene Graham, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1336995729
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405940-01 Issued in NY
Practice address
605 E 84TH St
Brooklyn, NY 11236-3427
Phone
(347) 683-6268
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405940-01 NY Primary

Addresses

Primary practice location

605 E 84TH St
Brooklyn, NY 11236-3427

Mailing address

605 E 84TH St
Brooklyn, NY 11236-3427
Phone (347) 683-6268

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
I20250909004818 NY Practitioner - Nurse Practitioner 5799288551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric Nynj PLLCGroup PAC ID 8022540814, 11 clinicians
Supportive Care Psychiatry of Ny PCGroup PAC ID 4981076247, 15 clinicians
Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

136 Madison Ave
FL 6
New York, NY 10016-6795
Phone (917) 582-6622

2975 Independence Ave
Bronx, NY 10463-4620
Phone (718) 506-1115

955 Yonkers Ave
Suite 102
Yonkers, NY 10704-3062
Phone (347) 667-7924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F405940-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sehwan Medical Care PLLC CurrentSince Jul 3, 2025 Accepting new patients
Supportive Care Psychiatry of Ny PC CurrentSince Feb 15, 2026 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

831 Bedford Ave
Brooklyn, NY 11205

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

955 Yonkers Ave
Ste 102
Yonkers, NY 10704
Phone (914) 237-2201

Organizations & group practices 3

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": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1336995729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363427",
            "telephone_number": "347-683-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363427",
            "telephone_number": "347-683-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHAELLENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405940-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.