Active NPI
Prabhakar Balkrishna Kale, M.D.
- Psychiatry Physician
- Melville, NY
National Provider Identifier
1659452407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 122135
- Practice address
- 4 Pembury CT
Melville, NY 11747-3303 - Phone
- (631) 643-8376
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 122135 | NY | Primary |
Addresses
Primary practice location
4 Pembury CT
Melville, NY 11747-3303
Mailing address
4 Pembury CT
Melville, NY 11747-3303
Phone (631) 643-8376
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 |
|---|---|---|---|---|
| I20230505000875 | NY | Order and Referring Only - Psychiatry | 3971787466 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659452407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PEMBURY CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473303",
"telephone_number": "631-643-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PEMBURY CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473303",
"telephone_number": "631-643-8376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALE",
"first_name": "PRABHAKAR",
"middle_name": "BALKRISHNA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "122135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.