Individual provider Active NPI

Randy Killings, CERT PEER SPEC

  • Peer Specialist
  • Brooklyn, NY
National Provider Identifier
1346778693
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
NYCPS-392 Issued in NY
Practice address
25 Flatbush Ave FL 3
Brooklyn, NY 11217-1101
Phone
(917) 284-4131
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NYCPS-392 NY Primary

Addresses

Primary practice location

25 Flatbush Ave FL 3
Brooklyn, NY 11217-1101

Mailing address

25 Flatbush Ave FL 3
Brooklyn, NY 11217-1101
Phone (917) 284-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NYCPS-392NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heights-Hill Mental Health Service SBPC Community Advisory Board, Inc. Peer Specialist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346778693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FLATBUSH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171101",
            "telephone_number": "917-284-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FLATBUSH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171101",
            "telephone_number": "917-284-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGS",
        "first_name": "RANDY",
        "credential": "CERT PEER SPEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-392",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.