Active NPI
Pedro Rabelo Olivetti, MD, PHD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1366861783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 281544
- Practice address
- 25 Elm PL FL 6
Brooklyn, NY 11201-5826 - Phone
- (718) 208-1591
- Fax
- (718) 875-5496
- NPI assigned
- Apr 14, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 281544 | NY | Primary |
Addresses
Primary practice location
25 Elm PL FL 6
Brooklyn, NY 11201-5826
Mailing address
25 Elm PL FL 6
Brooklyn, NY 11201-5826
Phone (718) 208-1591
Other practice location 1
89 Fort Greene Pl Fl 2
Brooklyn, NY 11217-1203
Phone (347) 871-0885
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240611000681 | NY | Order and Referring Only - Psychiatry | 0244660496 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281544 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1366861783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ELM PL FL 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015826",
"telephone_number": "718-208-1591",
"fax_number": "718-875-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ELM PL FL 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015826",
"telephone_number": "718-208-1591",
"fax_number": "718-875-5496"
}
],
"practiceLocations": [
{
"address_1": "89 Fort Greene Pl Fl 2",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112171203",
"country_code": "US",
"telephone_number": "347-871-0885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVETTI",
"first_name": "PEDRO",
"middle_name": "RABELO",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "281544",
"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 Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.