Active NPI
Sapir Edalati, DNP PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403879
- Practice address
- 926 Bedford Ave
Brooklyn, NY 11205-3913 - Phone
- (718) 875-6900
- Fax
- (718) 875-6999
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 779480 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403879 | NY | Primary |
Addresses
Primary practice location
926 Bedford Ave
Brooklyn, NY 11205-3913
Mailing address
60 Park St
Tenafly, NJ 07670-1124
Phone (516) 851-5870
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719002036 | NY | Practitioner - Psychiatry | 9830559087 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Columbia University College of Physicians and Surgeons, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5309 18TH Ave
Brooklyn, NY 11204-1523
Phone (718) 705-5190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 779480 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hasc Diagnostic & Treatment Center, Inc | Current | Accepting new patients | |
| Pesach Tikvah Hope Development Inc | Current | Accepting new patients | |
| Pesach Tikvah Hope Development Inc | Current | Accepting new patients | |
| Hasc Diagnostic &Treatment Center, Inc | Current | Accepting new patients |
Locations
1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600
5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190
5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110
926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 865-6900
365 Willoughby Ave
Ste 400
Brooklyn, NY 11205
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1902872591
NY
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1790678647
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1740834191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1558025486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 PARK ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701124",
"telephone_number": "516-851-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053913",
"telephone_number": "718-875-6900",
"fax_number": "718-875-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDALATI",
"first_name": "SAPIR",
"credential": "DNP PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "779480",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.