Active NPI
Nancy Talavera, MD
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 186602
- Practice address
- 450 Clarkson Ave # NS52
Brooklyn, NY 11203-2012 - Phone
- (718) 270-2003
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 186602 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave # NS52
Brooklyn, NY 11203-2012
Mailing address
135 Eastern Pkwy Apt 10L
Brooklyn, NY 11238-6071
Phone (718) 312-2241
Other practice location 1
34 Plaza St E Apt 104
Brooklyn, NY 11238-5038
Phone (718) 312-2241
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186602-B16 | Other | NY | HEALTH FIRST |
| P1114582 | Other | NY | OXFORD PROVIDER |
| 01633009 | Medicaid | NY | |
| 282381 | Other | NY | MHN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nancy.talavera@downstate.edu | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186602 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| University Physicians of Brooklyn | Psychiatry | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients | |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients | |
| Downstate Mental Hygiene Associates | Past | Accepting new patients |
Locations
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
450 Clarkson Ave
#52
Brooklyn, NY 11203
Phone (718) 270-1584
4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700
Interoperability endpoints
- nancytalavera@mai.allscriptsdirect.net
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1558318006
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- Public Health or Welfare Agency
- Brooklyn, NY
- NPI 1386678373
-
- Specialist
- Brooklyn, NY
- NPI 1306843388
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1861488959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 EASTERN PKWY APT 10L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386071",
"telephone_number": "718-312-2241",
"fax_number": "347-402-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # NS52",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-2003"
}
],
"practiceLocations": [
{
"address_1": "34 Plaza St E Apt 104",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112385038",
"country_code": "US",
"telephone_number": "718-312-2241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALAVERA",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "186602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "186602-B16",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER",
"identifier": "P1114582",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01633009",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "282381",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nancy.talavera@downstate.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "450 Clarkson Ave # Ns52",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112032012",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.