Individual provider Active NPI

Christine Sachakov, MHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Liberty, NY
National Provider Identifier
1386941573
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401253-1 Issued in NY
Practice address
17 Buckley St Unit 2
Liberty, NY 12754-1704
Phone
(845) 747-5600
Fax
(845) 747-5700
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401253 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401253-1 NY Primary

Addresses

Primary practice location

17 Buckley St Unit 2
Liberty, NY 12754-1704

Mailing address

17 Buckley St Unit 2
Liberty, NY 12754-1704
Phone (845) 747-5600

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
I20150320001369 NY Practitioner - Nurse Practitioner 2062739543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connections - Psychiatric NP Services PLLCGroup PAC ID 0143623033, 2 clinicians

Practice addresses (Care Compare)

17 Buckley St
Unit 2
Liberty, NY 12754-1704
Phone 8457475600100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401253-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connections - Psychiatric NP Services, PLLC Psychiatric/Mental Health CurrentSince May 26, 2021 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": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1386941573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BUCKLEY ST UNIT 2",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541704",
            "telephone_number": "845-747-5600",
            "fax_number": "845-747-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BUCKLEY ST UNIT 2",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541704",
            "telephone_number": "845-747-5600",
            "fax_number": "845-747-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHAKOV",
        "first_name": "CHRISTINE",
        "credential": "MHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401253",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

Verify at the official NPI Registry.