Organization Active NPI

SK Nurse Practitioner in Psychiatry P.C

  • Psychiatric/Mental Health Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1801727656
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SK NURSE PRACTITIONER IN PSYCHIATRY P.C
Practice address
3119 Newtown Ave Ste 500
Astoria, NY 11102-1392
Phone
(516) 515-9595
Fax
(516) 534-5053
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Scott Kolesar-Khan, NPNPI 1881347185
Title
Owner
Phone
(516) 515-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3119 Newtown Ave Ste 500
Astoria, NY 11102-1392

Mailing address

3119 Newtown Ave Ste 500
Astoria, NY 11102-1392
Phone (516) 515-9595

National Provider Directory

National Provider Directory

Locations

3119 Newtown Ave
Ste 500
Astoria, NY 11102
Phone (516) 515-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1801727656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 NEWTOWN AVE STE 500",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021392",
            "telephone_number": "516-515-9595",
            "fax_number": "516-534-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 NEWTOWN AVE STE 500",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021392",
            "telephone_number": "516-515-9595",
            "fax_number": "516-534-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK NURSE PRACTITIONER IN PSYCHIATRY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "KOLESAR-KHAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-515-9595",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.