Robert Shimonov, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406755 Issued in NY

Practice address

1919 Hazen St
East Elmhurst, NY 11370-1210

Phone

(646) 614-0799

NPI assigned

Aug 23, 2024

Last updated

Apr 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medagent CorpGroup PAC ID 4789900796, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medagent Corp

  dba Mensana Center

  • Clinic/Center
  • Cortlandt Manor, NY
  • NPI 1245301928
  Medicare reassignment Care Compare group NPD
• Nurture Mind NP in Psychiatry, P.C.

  dba NurtureMind Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainview, NY
  • NPI 1396690467
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1598598765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GATES AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 HAZEN ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701210",
            "telephone_number": "646-614-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMONOV",
        "first_name": "ROBERT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharjeel Shaw, PA
• Glenda A Shearn, PA
• Michele Sheiner, M.S.
• Dawa Yanzee Sherpa
• Gelu Sherpa
• Akram Shuaib, PHARM.D.
• Tina Marie Sibilio, M.S.
• Georgia Sideris
• Carla S Siguenza, RN
• Divine Hubert Simon

• Psychiatric/Mental Health Nurse Practitioner in East Elmhurst, NY
• Providers in East Elmhurst, 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 Apr 2, 2026; 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.

Verify at the official NPI Registry.