Individual provider Active NPI

Yelena Anbinder

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1366959124
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403805-01 Issued in NY
Practice address
38 Winthrop PL
Staten Island, NY 10314-3043
Phone
(718) 727-7077
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 742823-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403805-01 NY Primary

Addresses

Primary practice location

38 Winthrop PL
Staten Island, NY 10314-3043

Mailing address

38 Winthrop PL
Staten Island, NY 10314-3043
Phone (718) 727-7077

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
I20220228002048 NY Practitioner - Nurse Practitioner 5294128526 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crasmere Psychiatric Services PCGroup PAC ID 6002204971, 7 clinicians
Avant-Garde Psychiatric Consulting PLLCGroup PAC ID 1456613488, 6 clinicians

Practice addresses (Care Compare)

38 Winthrop PL
Staten Island, NY 10314-3043
Phone (718) 727-7077

50 Brighton 11TH St
Brooklyn, NY 11235-5304
Phone (929) 617-8635

56 Brighton 11TH St
Suite 2a
Brooklyn, NY 11235-5304
Phone (929) 617-8635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
742823-1NYMDRegistered Nurse
F403805-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avant-Garde Psychiatric Consulting PLLC CurrentSince Dec 1, 2025 Accepting new patients
Crasmere Psychiatric Services, PC CurrentSince Sep 9, 2022 Accepting new patients
Richmond Medical Solutions, PC PastSince Dec 21, 2021 Accepting new patients

Organizations & group practices 4

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1366959124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WINTHROP PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143043",
            "telephone_number": "718-727-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WINTHROP PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143043",
            "telephone_number": "718-727-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANBINDER",
        "first_name": "YELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "742823-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403805-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.