Individual provider Active NPI

Mindy E Prager, MD

  • Psychiatry Physician
  • Bridgehampton, NY
National Provider Identifier
1699825059
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
183820 Issued in NY
Practice address
166 Maple Lane
Bridgehampton, NY 11932
Phone
(631) 907-2818
NPI assigned
Jan 10, 2007
Last updated
May 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 183820 NY Primary

Addresses

Primary practice location

166 Maple Lane
Bridgehampton, NY 11932

Mailing address

Pob 1664
Bridgehampton, NY 11932
Phone (631) 907-2818

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000162 NY Practitioner - Psychiatry 5496850786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc CurrentSince Nov 7, 2016 Accepting new patients
Welllife Network Inc., CurrentSince Nov 7, 2016 Accepting new patients
Hands Across Long Island, Incorporated PastSince Jul 11, 2016 Accepting new patients
Welllife Network Inc. Past Accepting new patients
Family Service League, Inc. Past Accepting new patients

Locations

3600 Route 112
Coram, NY 11727
Phone (631) 854-2100

14202 20th Ave
#3
Flushing, NY 11351

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1699825059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 1664",
            "city": "BRIDGEHAMPTON",
            "state": "NY",
            "postal_code": "11932",
            "telephone_number": "631-907-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAPLE LANE",
            "city": "BRIDGEHAMPTON",
            "state": "NY",
            "postal_code": "11932",
            "telephone_number": "631-907-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "MINDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "183820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgehampton, NY

Sources for this page

Verify at the official NPI Registry.