Ko Psychiatric NP PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KO PSYCHIATRIC NP PC

Practice address

9517 Avenue J
Brooklyn, NY 11236-3904

Phone

(917) 553-4040

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kira OppenheimNPI 1083737555

Title

NP

Phone

(917) 553-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Kira Oppenheim, ANP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1083737555

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1912649377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 ARDSLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363904",
            "telephone_number": "917-553-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO PSYCHIATRIC NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "917-553-4040"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trivette Knowles
• Tulsa Knox, PSY.D
• Bailey Rose Knudsen
• Tara Knutsen, DPT
• Christopher William Knutson, MD
• Ching Lam Ko, PT, DPT
• David Ko
• Kay C.J. Ko
• Keith Yu Fai Ko, PA
• Khin Mar Ko

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.

Verify at the official NPI Registry.