Basha Brody, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Yonkers, NY
NPI 1487364907 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1487364907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F406144 (NY)
- Practice address
- 45 Ludlow St Ste 402
Yonkers, NY 10705-1949 - Phone
- (914) 570-9000
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250401001372 | NY | Practitioner - Nurse Practitioner | 8123541067 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856827 | NY | MD | Registered Nurse |
| F406144 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sehwan Medical Care PLLC | Current |
Accepting new patients | |
| Empire State Psychiatric Medicine PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
831 Bedford Ave
Brooklyn, NY 11205
315 Madison Ave
Rm 2000
New York, NY 10017
Phone (646) 661-5225
45 Ludlow St
Ste 402
Yonkers, NY 10705
Phone (914) 570-9000
Interoperability endpoints
- basha.brody.1@31644.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 856827 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F406144 | NY | Yes |
Addresses
Primary practice location
45 Ludlow St Ste 402
Yonkers, NY 10705-1949
Mailing address
45 Ludlow St Ste 402
Yonkers, NY 10705-1949
Phone (914) 570-9000
Other providers in Yonkers, NY
- Mary Ellen Brittis
- Broadway Car Service Inc
- Broadway Medical Practice
- Broadway Medical Services PC
- Priscilla Owusu Brobbey
- Cheryl Barbara Brody
- Bronx River Road Licensed Clinical Social Work LLC
- Bronx Vamc
- Yvonne Broodie
- Adam Michael Brook
All providers in Yonkers, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.