Active NPI
Octave Psychiatry Behavioral Health PC
- Psychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
- Last updated
- Apr 24, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
45 E 20TH St FL 6
New York, NY 10003
Mailing address
PO Box 18397
Palatine, IL 60055-8397
Phone (415) 360-3833
Other practice location 1
286 Madison Ave Fl 22
New York, NY 10017-6368
Phone (917) 473-8869
Other practice location 2
680 W End Ave Ste 1A
New York, NY 10025-6815
Phone (415) 360-3833
Other practice location 3
738 Smithtown Byp Ste 108
Smithtown, NY 11787-5015
Phone (415) 360-0383
Other practice location 4
646 Main St Ste 206
Port Jefferson, NY 11777-2230
Phone (415) 360-3833
Other practice location 5
40 Grove St Ste 106
Middletown, NY 10940-4874
Phone (415) 360-3833
Other practice location 6
1 Park Pl Ste 227
Fredonia, NY 14063-1764
Phone (415) 360-3833
Other practice location 7
14 Harwood Ct Ste 408
Scarsdale, NY 10583-4120
Phone (415) 360-3833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Octave Behavioral Health PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- New York, NY
- NPI 1467251660
Locations
611 S Milwaukee Ave
Ste 1
Libertyville, IL 60048
1560 Wall St
Ste 304
Naperville, IL 60563
Phone (630) 379-3457
15255 S 94th Ave
Fl 5
Orland Park, IL 60462
Phone (619) 995-0040
1500 McConnor Pkwy
Ste 200
Schaumburg, IL 60173
1 Park Pl
Ste 227
Fredonia, NY 14063
Phone (716) 245-5845
40 Grove St
Ste 106
Middletown, NY 10940
286 Madison Ave
Fl 2
New York, NY 10017
286 Madison Ave
Fl 22
New York, NY 10017
Phone (914) 481-3109
45 E 20th St
Fl 6
New York, NY 10003
Phone (332) 286-2090
646 Main St
Ste 206
Prt Jefferson, NY 11777
Phone (516) 580-9226
2908 Poston Ave
Fl 15
Nashville, TN 37203
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- New York, NY
- NPI 1811349327
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1093162984
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1750669867
-
- Clinical Social Worker
- New York, NY
- NPI 1073998977
-
- Psychologist
- New York, NY
- NPI 1043850092
-
- Clinical Psychologist
- New York, NY
- NPI 1023656055
-
- Mental Health Counselor
- New York, NY
- NPI 1144784356
-
- Clinical Social Worker
- New York, NY
- NPI 1417703000
-
- Mental Health Counselor
- New York, NY
- NPI 1265013320
NPI Registry JSON
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": []
}Other providers in New York, NY
Sources for this page
- 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.