Ellen Kudrow NP in Psychiatry and NP in Family Health PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC

Practice address

350 91St St Ste 1a
Brooklyn, NY 11209-5853

Phone

(929) 992-3202

Fax

(929) 323-0474

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Mia Camilliere, PHD

Title

Office Manager/Patient Coordinator

Phone

(929) 992-3202

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Kudrow, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1689054199

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1548955586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 91ST ST STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095853",
            "telephone_number": "929-992-3202",
            "fax_number": "929-323-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 91ST ST STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095853",
            "telephone_number": "929-992-3202",
            "fax_number": "929-323-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "CAMILLIERE",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OFFICE MANAGER/PATIENT COORDINATOR",
        "authorized_official_telephone_number": "929-992-3202",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Kreydina Psychotherapy LCSW
• Ellas OT PC
• Coco W Elle
• Ellen Atkins Speech Services PC
• Ellen J. Heuman D.D.S
• Ellen Pan MD PC
• David Ellenberg, MD
• Rachel Ellenberg
• Angela Ellerman, MD
• Dorothea Ellern, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.