Active NPI
Rohan Reid, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403294
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403294 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Coordinated Behavioral Care Ipa Inc | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Psychiatric/Mental Health
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.