Octave Psychiatry Behavioral Health PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

OCTAVE PSYCHIATRY BEHAVIORAL HEALTH PC

Practice address

45 E 20TH St FL 6
New York, NY 10003

Phone

(415) 360-3833

Fax

(628) 234-3048

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Kym Everett

Title

VP Revenue Operations

Phone

(650) 504-2289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Octave Behavioral Health PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Octave Psychiatry Behavioral Health PC

  • Psychologist
  • New York, NY
  • NPI 1467251660
  NPD tax ID

Locations

Practitioners 18

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

• Samantha Hill, LMSW

  • Social Worker
  • New York, NY
  • NPI 1811349327
  Medicare reassignment NPD
• Melissa Kwiatkowski, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1093162984
  Medicare reassignment NPD
• Kathleen Hariett Moran, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1750669867
  Medicare reassignment NPD
• Heather Sutter, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1073998977
  Medicare reassignment NPD
• Caitlyn Lipschitz

  • Marriage & Family Therapist
  • Cary, NC
  • NPI 1457139644

  NY

  Medicare reassignment NPD
• Samantha Alana Sampath, LMHC

  • Mental Health Counselor
  • Harrison, NJ
  • NPI 1992308555

  NY

  Medicare reassignment NPD
• Vishal Vijay Vaswani, LMHC

  • Mental Health Counselor
  • Berkeley, CA
  • NPI 1063844975

  NY

  Medicare reassignment NPD
• Sarah Chen, PHD

  • Psychologist
  • New York, NY
  • NPI 1043850092
  NPD
• Angie Ahmed Morssal, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1023656055
  NPD
• Rachel Relkin, LMHC, LPC

  • Mental Health Counselor
  • New York, NY
  • NPI 1144784356
  NPD
• Alexandra Coleman

  • Clinical Social Worker
  • New York, NY
  • NPI 1417703000
  NPD (past)
• Caroline Meryle Kaleda, LMHC

  • Mental Health Counselor
  • New York, NY
  • NPI 1265013320
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1821573023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18397",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558397",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E 20TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Madison Ave Fl 22",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176368",
            "country_code": "US",
            "telephone_number": "917-473-8869",
            "fax_number": "929-529-6277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 W End Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256815",
            "country_code": "US",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 Smithtown Byp Ste 108",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117875015",
            "country_code": "US",
            "telephone_number": "415-360-0383",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "646 Main St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772230",
            "country_code": "US",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Grove St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109404874",
            "country_code": "US",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Park Pl Ste 227",
            "address_purpose": "LOCATION",
            "city": "Fredonia",
            "state": "NY",
            "postal_code": "140631764",
            "country_code": "US",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Harwood Ct Ste 408",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105834120",
            "country_code": "US",
            "telephone_number": "415-360-3833",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCTAVE PSYCHIATRY BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "KYM",
        "authorized_official_title_or_position": "VP REVENUE OPERATIONS",
        "authorized_official_telephone_number": "650-504-2289"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Patrick Oconnor, RPA-C
• Maria Elizabeth Oconnor, FFT
• Joycelyn Ocran, NP
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• Octave Psychiatry Behavioral Health PC
• Shilisha T October
• Janeth A Oculam, NURSE PRACTITIONER
• Ocular Holdings LLC
• Oculus Medical Eye Care PC
• Brunismel Ocumares

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.