Active NPI
Kayla Choi, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1386483337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 409016
- Practice address
- 102 Rivers Edge Rd
New York, NY 10035-1163 - Phone
- (646) 766-4000
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 409016 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 820710 | NY |
Addresses
Primary practice location
102 Rivers Edge Rd
New York, NY 10035-1163
Mailing address
4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5562
Other practice location 1
4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5562
Other names 1
- Kayla Chan
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 |
|---|---|---|---|
| 820710 | NY | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1386483337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARSONS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552205",
"telephone_number": "718-670-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RIVERS EDGE RD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351163",
"telephone_number": "646-766-4000"
}
],
"practiceLocations": [
{
"address_1": "4500 Parsons Blvd",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113552205",
"country_code": "US",
"telephone_number": "718-670-5562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "KAYLA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "409016",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "820710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "CHAN",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.