Drew K Goldbaum-Ratkevich, NP-P, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403681 Issued in NY

Practice address

201 5TH Ave
Apt 2
Brooklyn, NY 11217-4481

Phone

(718) 795-3727

NPI assigned

Mar 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Drew K Phelan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1679934517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 DEAN ST APT 16M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174148",
            "telephone_number": "718-795-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH AVE",
            "address_2": "APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174481",
            "telephone_number": "718-795-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBAUM-RATKEVICH",
        "first_name": "DREW",
        "middle_name": "K",
        "credential": "NP-P, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "711470",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "PHELAN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaindy Gold
• Shifra Gold
• Talia Gold, LMSW
• Piotr Golda
• Chaya Goldbaum Newmark, SLP
• Rachael Goldbaum, LMSW
• Shalva Goldbaum, OTRL
• Goldberg & Pellegrini, MD, P.C.
• Estee Goldberg-Lieblich, MS
• Abigail Goldberg, 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 Sep 1, 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.

Verify at the official NPI Registry.