Individual provider Active NPI

Minna Navvab, PMHNP-BC, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1467855486
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404740 Issued in NY
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

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467855486MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160601001659 GA Practitioner - Nurse Practitioner 6709176878 Reassigns benefits to 1 organization
I20180615001680 NY Practitioner - Certified Nurse Midwife (CNM) 6709176878 Reassigns benefits to 2 organizations

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
Project Renewal IncGroup PAC ID 6901798651, 8 clinicians

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

LicenseStateTypeSpecialty
404740NYMDPsychiatric/Mental Health Nurse Practitioner
RN241876GAMDAdvanced Practice Midwife
001855NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Project Renewal Inc CurrentSince Apr 15, 2023 Accepting new patients
Planned Parenthood of Greater New York Inc CurrentSince Nov 1, 2021 Accepting new patients
Project Renewal Inc CurrentSince Apr 15, 2023 Accepting new patients
Southside Medical Center, Inc CurrentSince Mar 23, 2016 Accepting new patients
Southside Medical Center, Inc. CurrentSince Mar 23, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.