Individual provider Active NPI

Anant Nicholas Sookdeo, RN PMH-BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1912649625
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
670462 Issued in NY
Practice address
2797 Ford St
Brooklyn, NY 11235-1725
Phone
(929) 239-6134
NPI assigned
Apr 12, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 670462 NY Primary

Addresses

Primary practice location

2797 Ford St
Brooklyn, NY 11235-1725

Mailing address

2797 Ford St
Brooklyn, NY 11235-1725
Phone (929) 239-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
670462NYMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1912649625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 FORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351725",
            "telephone_number": "929-239-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 FORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351725",
            "telephone_number": "929-239-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOKDEO",
        "first_name": "ANANT",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "RN PMH-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "670462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.