Active NPI
Ellen Mausner
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 151346-1
- Practice address
- 2601 Ocean Pkwy
Brooklyn, NY 11235-7745 - Phone
- (718) 616-4408
- Fax
- (718) 616-4105
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 151346-1 | NY | Primary |
Addresses
Primary practice location
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Mailing address
3822 Atlantic Ave
Brooklyn, NY 11224-1209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01013758 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151346-1 | NY | MD | Psychiatry Physician |
| 151346 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revived Soul Medical PC | Psychiatry | Current | Accepting new patients |
| Ahrc Health Care Inc | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Ahrc Healthcare Inc. | Current | Accepting new patients | |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Family Physicians at Lich | Past | Accepting new patients | |
| National Neighborhood Counseling Center Inc | Past | Accepting new patients | |
| Park Slope Center for Mental Health, Inc | Past | Accepting new patients |
Locations
307 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 743-5555
83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Organizations & group practices 8
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.
-
- Clinic/Center
- New York, NY
- NPI 1710086590
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1942617345
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1821389941
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1316994296
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1851382188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740293745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3822 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357745",
"telephone_number": "718-616-4408",
"fax_number": "718-616-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUSNER",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "151346-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01013758",
"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 Jul 8, 2007; 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.