Active NPI
Claudia Mitzeliotis, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1700839479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401160
- Practice address
- 1128 81St St
Brooklyn, NY 11228-2918 - Phone
- (917) 406-7345
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 293821 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401160 | NY | Primary |
Addresses
Primary practice location
1128 81St St
Brooklyn, NY 11228-2918
Mailing address
1128 81St St
Brooklyn, NY 11228-2918
Phone (917) 406-7345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401160 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 293821 | NY | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1700839479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 81ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282918",
"telephone_number": "917-406-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 81ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282918",
"telephone_number": "917-406-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITZELIOTIS",
"first_name": "CLAUDIA",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "293821",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401160",
"primary": true
}
],
"identifiers": [],
"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 Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.