Individual provider Active NPI

Ellen Mausner

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1740293745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151346-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
01013758MedicaidNY

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151346-1NYMDPsychiatry Physician
151346NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Revived Soul Medical PC Psychiatry CurrentSince Oct 9, 2024 Accepting new patients
Ahrc Health Care Inc CurrentSince Jan 9, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 5, 2017 Accepting new patients
Ahrc Healthcare Inc. CurrentSince Jan 9, 2017 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Family Physicians at Lich Past Accepting new patients
National Neighborhood Counseling Center Inc PastSince Feb 4, 1991 Accepting new patients
Park Slope Center for Mental Health, Inc PastSince Oct 11, 2005 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.

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

Verify at the official NPI Registry.