Active NPI
Minna Navvab, PMHNP-BC, CNM
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404740
- Practice address
- 228 Park Ave S
New York, NY 10003-1502 - Phone
- (973) 910-0580
- Fax
- (917) 764-4709
- NPI assigned
- Oct 4, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN241876 | GA | |
| Advanced Practice Midwife | 367A00000X | 001855 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404740 | NY | Primary |
Addresses
Primary practice location
228 Park Ave S
New York, NY 10003-1502
Mailing address
200 Varick St RM 900
New York, NY 10014-4893
Phone (212) 620-0340
Other practice location 1
200 Varick St Rm 900
New York, NY 10014-4893
Phone (212) 620-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467855486 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 E 3Rd St
New York, NY 10003-8908
Phone (212) 533-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404740 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN241876 | GA | MD | Advanced Practice Midwife |
| 001855 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Renewal Inc | Current | Accepting new patients | |
| Planned Parenthood of Greater New York Inc | Current | Accepting new patients | |
| Project Renewal Inc | Current | Accepting new patients | |
| Southside Medical Center, Inc | Current | Accepting new patients | |
| Southside Medical Center, Inc. | Current | Accepting new patients | |
| Find Your Balance NP in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients |
Locations
1039 Ridge Ave SW
Atlanta, GA 30315
Phone (407) 761-8640
1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942
44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879
2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000
200 Varick St
Fl 9
New York, NY 10014
Phone (212) 620-0340
200 Varick St
New York, NY 10014
Phone (212) 620-0340
200 Varick St
Rm 900
New York, NY 10014
Phone (212) 620-0340
225 E 45th St
New York, NY 10017
Phone (212) 661-8934
225 E 45th St
Fl 2
New York, NY 10017
Phone 2126618934 ext. 265
26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226
543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- minna.navvab@pri1.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1598770018
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1235123993
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1083593966
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1821740275
-
- Federally Qualified Health Center (FQHC)
- Jonesboro, GA
- NPI 1821981234
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1467855486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VARICK ST RM 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100144893",
"telephone_number": "212-620-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 PARK AVE S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502",
"telephone_number": "973-910-0580",
"fax_number": "917-764-4709"
}
],
"practiceLocations": [
{
"address_1": "200 Varick St Rm 900",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100144893",
"country_code": "US",
"telephone_number": "212-620-0340",
"fax_number": "917-764-4709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVVAB",
"first_name": "MINNA",
"credential": "PMHNP-BC, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-04",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN241876",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "001855",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467855486",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.