Individual provider Active NPI

Rachel Stephanie Kashan, M.A.

  • Student in an Organized Health Care Education/Training Program
  • Great Neck, NY
National Provider Identifier
1972043123
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
865 Northern Blvd
Suite 102
Great Neck, NY 11021-5335
Phone
(516) 622-5000
NPI assigned
Mar 6, 2017
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

865 Northern Blvd
Suite 102
Great Neck, NY 11021-5335

Mailing address

865 Northern Blvd
Suite 102
Great Neck, NY 11021-5335
Phone (516) 622-5000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203001839 NY Practitioner - Clinical Psychologist 6204314958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4514 16TH Ave
FL 4
Brooklyn, NY 11204-1101

620 Foster Ave
Suite 200
Brooklyn, NY 11230-1389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Health Inc CurrentSince Dec 24, 2025 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

620 Foster Ave
Brooklyn, NY 11230

620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1972043123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 NORTHERN BLVD",
            "address_2": "SUITE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215335",
            "telephone_number": "516-622-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 NORTHERN BLVD",
            "address_2": "SUITE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215335",
            "telephone_number": "516-622-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHAN",
        "first_name": "RACHEL",
        "middle_name": "STEPHANIE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.