Individual provider Active NPI

Kirk Austin Patterson, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1477572915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
212317 Issued in NY
Practice address
207 Lincoln Rd
Brooklyn, NY 11225-3422
Phone
(917) 613-6338
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 212317 NY Primary

Addresses

Primary practice location

207 Lincoln Rd
Brooklyn, NY 11225-3422

Mailing address

207 Lincoln Rd
Brooklyn, NY 11225-3422
Phone (917) 613-6338

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
I20050311000841 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6204880289 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Medical Healthcare Services P.C. Psychiatry CurrentSince Dec 1, 2017 Accepting new patients
A Merryland Operating LLC CurrentSince Mar 7, 2024 Accepting new patients
Jal 28 LLC PastSince Mar 7, 2024 Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
Downstate Mental Hygiene Associates Past Accepting new patients

Locations

2873 W 17th St
Fl 2
Brooklyn, NY 11224
Phone (718) 265-0900

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

157 E 72nd St
Ste H
New York, NY 10021
Phone (718) 239-0030

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: kpatterson989916@nychhc.direct-ci.com

Organizations & group practices 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477572915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LINCOLN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253422",
            "telephone_number": "917-613-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LINCOLN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253422",
            "telephone_number": "917-613-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KIRK",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "212317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.