Individual provider Active NPI

Karine Charlot, MD

  • Child & Adolescent Psychiatry Physician
  • Wyandanch, NY
National Provider Identifier
1447386248
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
242678-1 Issued in NY
Practice address
240A Long Island Ave
Wyandanch, NY 11798-3123
Phone
(631) 782-6200
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 242678-1 NY Primary

Addresses

Primary practice location

240A Long Island Ave
Wyandanch, NY 11798-3123

Mailing address

7 Martin PL
Babylon, NY 11702-1113
Phone (631) 893-7718

Other names 1

  • Karine Charlot Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001031 NY Practitioner - Psychiatry 6709856099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

240 A Long Island Ave
Wyandanch, NY 11798-3123
Phone (631) 669-5355

456 Waverly Ave
Patchogue, NY 11772-1586
Phone (631) 447-6460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242678-1NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Risewell Community Services CurrentSince Mar 2, 2015 Accepting new patients
Federation of Organizations for the Ny State Mentally Disabled Inc Current Accepting new patients
Risewell Community Services CurrentSince Mar 2, 2015 Accepting new patients

Locations

456 Waverly Ave
Patchogue, NY 11772
Phone (631) 447-6460

240A Long Island Ave
Wyandanch, NY 11798
Phone (631) 782-6200

Organizations & group practices 3

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1447386248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARTIN PL",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021113",
            "telephone_number": "631-893-7718",
            "fax_number": "631-422-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240A LONG ISLAND AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983123",
            "telephone_number": "631-782-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLOT",
        "first_name": "KARINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "242678-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARINE",
            "last_name": "CHARLOT",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wyandanch, NY

Sources for this page

Verify at the official NPI Registry.