Individual provider Active NPI

Jason Meisel, PMHNP-BC, RN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1669859096
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401965 Issued in NY
Practice address
641 President St Ste 201
Brooklyn, NY 11215-1186
Phone
(740) 777-6184
Fax
(206) 309-3725
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 612103 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401965 NY Primary

Addresses

Primary practice location

641 President St Ste 201
Brooklyn, NY 11215-1186

Mailing address

641 President St Ste 201
Brooklyn, NY 11215-1186
Phone (740) 777-6184

Other practice location 1

208 W 13th St
New York, NY 10011-7702
Phone (212) 620-7310

Other identifiers 1

IdentifierTypeStateIssuer
2016002199OtherNYPMHNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
612103NYMDRegistered Nurse
F401965NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meisel NP in Psychiatry, PLLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

641 President St
Ste 201
Brooklyn, NY 11215
Phone (740) 777-6184

208 W 13th St
New York, NY 10011
Phone (212) 620-7310

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1669859096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 PRESIDENT ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151186",
            "telephone_number": "740-777-6184",
            "fax_number": "206-309-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 PRESIDENT ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151186",
            "telephone_number": "740-777-6184",
            "fax_number": "206-309-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 W 13th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117702",
            "country_code": "US",
            "telephone_number": "212-620-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISEL",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, RN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612103",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMHNP LICENSE",
            "identifier": "2016002199",
            "state": "NY"
        }
    ],
    "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 Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.