Individual provider Active NPI

Basha Brody, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1487364907
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F406144 Issued in NY
Practice address
45 Ludlow St Ste 402
Yonkers, NY 10705-1949
Phone
(914) 570-9000
NPI assigned
Nov 28, 2022
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 856827 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406144 NY Primary

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401001372 NY Practitioner - Nurse Practitioner 8123541067 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
856827NYMDRegistered Nurse
F406144NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Psychiatric Medicine PLLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Sehwan Medical Care PLLC CurrentSince Dec 26, 2024 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

  • Direct secure messaging: basha.brody.1@31644.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1487364907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST STE 402",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051949",
            "telephone_number": "914-570-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST STE 402",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051949",
            "telephone_number": "914-570-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "BASHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "856827",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.