ANDRE JOSEPH BASILE
NPI 1104316132
Counselor - Mental Health in Brooklyn, NY

Q: What is Andre Basile's NPI number?

The NPI number for Andre Basile is 1104316132. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is Andre Basile's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Andre Basile was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment

2857 LINDEN BLVD, BROOKLYN, NY 11208(718) 553-1100(718) 553-1111 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 10, 2022, May 15, 2018 (2 updates tracked since 2018).

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About Andre Joseph Basile NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE JOSEPH BASILE (NPI 1104316132) is an individual mental health provider in Brooklyn, New York, licensed in New York (014662) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104316132

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameANDRE JOSEPH BASILE

Location Address2857 LINDEN BLVDBrooklyn, NY 11208-5126

Mailing Address852 Bauer StElmont, NY 11003-4317

Phone(718) 553-1100

Fax(718) 553-1111

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 15, 2018

Last NPPES UpdateMay 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1104316132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 014662

2857 LINDEN BLVD, Brooklyn, NY 11208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andre Joseph Basile is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355885682

PECOS Enrollment IDI20240627003157

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NERO KEROLLE

Counselor (Mental Health)