Bruce Profsky, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

405636 Issued in NY

Practice address

4102 13TH Ave
Brooklyn, NY 11219-1389

Phone

(718) 400-9988

NPI assigned

Nov 7, 2024

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Hamaspik of Kings County

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1700120888
  Medicare reassignment NPD
• Hamaspik of Kings County, Inc.

  • Developmental Disabilities Clinic/Center
  • Brooklyn, NY
  • NPI 1730859976
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1689497554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344830",
            "telephone_number": "718-419-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191389",
            "telephone_number": "718-400-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFSKY",
        "first_name": "BRUCE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional PT OT Services P.L.L.C. (REM Rehabilitation PT/OT Services)
• Professional Radiology Services, P.C.
• Professional Rehab Physical Therapy P.C.
• Debra A. Profio
• Profit Pulse LLC
• Program Development Services, Inc
• Program Development Services, Inc
• Progress and Success LLC
• Progress Point 05 Incorporated
• Progress Up ABA LLC

• 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 Dec 17, 2024; 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.

Verify at the official NPI Registry.