Organization Active NPI

Prieto Medical Practice, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooktondale, NY
National Provider Identifier
1952191371
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRIETO MEDICAL PRACTICE, PLLC
Practice address
1638 Coddington Rd
Brooktondale, NY 14817-9542
Phone
(510) 292-1957
Fax
(510) 292-1957
NPI assigned
May 8, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Helena Prieto, DONPI 1841810827
Title
Owner, Physician
Phone
(510) 292-1957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1638 Coddington Rd
Brooktondale, NY 14817-9542

Mailing address

1638 Coddington Rd
Brooktondale, NY 14817-9542
Phone (510) 292-1957

Other practice location 1

200 Pleasant Grove Rd
Ithaca, NY 14850-2664
Phone (607) 708-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326002789 NY Part B Supplier - Clinic/Group Practice 8921583014 Receives reassigned benefits from 1 practitioner
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1952191371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 CODDINGTON RD",
            "city": "BROOKTONDALE",
            "state": "NY",
            "postal_code": "148179542",
            "telephone_number": "510-292-1957",
            "fax_number": "510-292-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 CODDINGTON RD",
            "city": "BROOKTONDALE",
            "state": "NY",
            "postal_code": "148179542",
            "telephone_number": "510-292-1957",
            "fax_number": "510-292-1957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Pleasant Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148502664",
            "country_code": "US",
            "telephone_number": "607-708-9791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIETO MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "510-292-1957",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooktondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.