Active NPI
Sophia Mikityanskiy, D.O.
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 290690
- Practice address
- 109 W 27TH St RM 5S
New York, NY 10001-6208 - Phone
- (833) 351-8255
- NPI assigned
- Apr 10, 2014
- Last updated
- Jan 21, 2026
- 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 | 290690 | NY | Primary |
Addresses
Primary practice location
109 W 27TH St RM 5S
New York, NY 10001-6208
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255
Other practice location 1
1 W Winter St Ste 200
Delaware, OH 43015-4635
Phone (833) 351-8255
Other practice location 2
4802 Tenth Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Phone (718) 283-6879
Other practice location 3
53 Frontage Rd Fl 1
Hampton, NJ 08827-4031
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255
53 Frontage Rd
Hampton, NJ 08827-4031
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290690 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Maimonides Department of Psychiatry FPP | Psychiatry | Current | Accepting new patients |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients | |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients |
Locations
920 48th St
Brooklyn, NY 11219
Phone (718) 283-7800
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
920 48th St
Ste 1510
Brooklyn, NY 11219
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sophia.mikityanskiy.p1@direct.mmc.nextgenshare.com
- sophiamikityanskiy@mai.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1871912469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "1 W Winter St Ste 200",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430154635",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4802 Tenth Avenue",
"address_2": "Maimonides Medical Center",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11219",
"country_code": "US",
"telephone_number": "718-283-6879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "53 Frontage Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "NJ",
"postal_code": "088274031",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKITYANSKIY",
"first_name": "SOPHIA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "290690",
"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 Jan 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.