Individual provider Active NPI

Sarah Kevelson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1851694129
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
261449-1 Issued in NY
Practice address
1410 Pelham Pkwy S
Bronx, NY 10461-1116
Phone
(718) 430-8500
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 261449-1 NY Primary
Psychiatry Physician 2084P0800X 261449-1 NY

Addresses

Primary practice location

1410 Pelham Pkwy S
Bronx, NY 10461-1116

Mailing address

1410 Pelham Pkwy S
Bronx, NY 10461-1116
Phone (718) 430-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405001548 NY Practitioner - PsychiatryPractitioner - Internal Medicine 9436456514 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261449-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital Current Accepting new patients
Montefiore Medical Center Psychiatry CurrentSince Jan 6, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Apr 1, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jan 6, 2016 Accepting new patients
The New York and Presbyterian Hosp CurrentSince Apr 1, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1410 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 430-8500

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • Direct secure messaging: sak9157@direct.nyp.org

Organizations & group practices 7

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1851694129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611116",
            "telephone_number": "718-430-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611116",
            "telephone_number": "718-430-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVELSON",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "261449-1",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "261449-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.