Individual provider Active NPI

Nicolas Du Mont, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1881694420
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
179805 Issued in NY
Practice address
200 W 70TH St
Suite 8F
New York, NY 10023-4323
Phone
(212) 787-8168
NPI assigned
Jul 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 179805 NY Primary

Addresses

Primary practice location

200 W 70TH St
Suite 8F
New York, NY 10023-4323

Mailing address

200 W 70TH St
Suite 8F
New York, NY 10023-4323
Phone (212) 787-8168

Other identifiers 1

IdentifierTypeStateIssuer
01811036MedicaidNY

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
I20111222000141 NY Practitioner - Psychiatry 3779759709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inwood Community Services, IncGroup PAC ID 1850608100, 6 clinicians

Practice addresses (Care Compare)

651 Academy St
New York, NY 10034-5003
Phone 2129420043133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inwood Community Services, Inc. CurrentSince Mar 20, 2016 Accepting new patients
Park Slope Center for Mental Health, Inc CurrentSince Jul 1, 2018 Accepting new patients
SLR Psychiatric Associates Past Accepting new patients
Puerto Rican Family Institute, Inc. Past Accepting new patients

Locations

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881694420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 70TH ST",
            "address_2": "SUITE 8F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234323",
            "telephone_number": "212-787-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 70TH ST",
            "address_2": "SUITE 8F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234323",
            "telephone_number": "212-787-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU MONT",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "179805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01811036",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.