Individual provider Active NPI

Rohan Reid, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1952903841
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403294 Issued in NY
Practice address
1600 Bedford Ave
Brooklyn, NY 11225-1357
Phone
(201) 667-2018
NPI assigned
Nov 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403294 NY Primary

Addresses

Primary practice location

1600 Bedford Ave
Brooklyn, NY 11225-1357

Mailing address

1600 Bedford Ave
Brooklyn, NY 11225-1357
Phone (201) 667-2018

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL trig1 Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228000573 NY Practitioner - Nurse Practitioner 6800209495 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403294NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Apr 1, 2021 Accepting new patients
New York University CurrentSince Dec 15, 2022 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Jan 16, 2021 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients
New York University CurrentSince Dec 15, 2022 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Sep 1, 2021 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Jan 16, 2021 Accepting new patients

Locations

579 Courtlandt Ave
Bronx, NY 10451
Phone (718) 908-8000

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

250 Skillman St
Ste 202
Brooklyn, NY 11205

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: rreid14219@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1952903841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251357",
            "telephone_number": "201-667-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251357",
            "telephone_number": "201-667-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ROHAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-15",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trig1",
            "affiliation": "N",
            "endpointDescription": "trig2",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "275 E 31st St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112266409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.