Organization Active NPI

Deep Roots Psychiatry Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1811892474
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DEEP ROOTS PSYCHIATRY NURSE PRACTITIONER IN PSYCHIATRY PLLC
Practice address
2569 Ocean Ave
Brooklyn, NY 11229-4576
Phone
(646) 884-4999
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Vandim Pertsovsky
Title
Owner
Phone
(646) 884-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2569 Ocean Ave
Brooklyn, NY 11229-4576

Mailing address

2569 Ocean Ave
Brooklyn, NY 11229-4576

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1811892474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294576",
            "telephone_number": "646-884-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP ROOTS PSYCHIATRY NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "PERTSOVSKY",
        "authorized_official_first_name": "VANDIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-884-4999"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.