Active NPI
Khemenec Pantin
- Clinical Social Worker
- New York, NY
National Provider Identifier
1356881726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095367
- Practice address
- 520 W 112TH St Apt 16a
New York, NY 10025-1604 - Phone
- (347) 534-6437
- NPI assigned
- Mar 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 095367 | NY | |
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 095367 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 095367 | NY | |
| Mental Health Counselor | 101YM0800X | 095367 | NY |
Addresses
Primary practice location
520 W 112TH St Apt 16a
New York, NY 10025-1604
Mailing address
520 W 112TH St Apt 16a
New York, NY 10025-1604
Phone (347) 534-6437
Other practice location 1
66 Reed Street Ct # 2
Cambridge, MA 02140-2417
Phone (347) 534-6437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 095367 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1356881726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W 112TH ST APT 16A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251604",
"telephone_number": "347-534-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W 112TH ST APT 16A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251604",
"telephone_number": "347-534-6437"
}
],
"practiceLocations": [
{
"address_1": "66 Reed Street Ct # 2",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021402417",
"country_code": "US",
"telephone_number": "347-534-6437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANTIN",
"first_name": "KHEMENEC",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-03",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "095367",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095367",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "095367",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "095367",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.