Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLEAR VIEW NP IN PSYCHIATRY PC
NPI 1124807169
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Active since September 28, 2023
4016 74TH ST, ELMHURST, NY 11373(718) 682-7090 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clear View Np In Psychiatry Pc NPPES

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

CLEAR VIEW NP IN PSYCHIATRY PC (NPI 1124807169) is a healthcare organization registered as a psychiatric/mental health in Elmhurst, New York and active in the NPI registry since September 2023. The organization lists Shahruma Islam, Owner, as its authorized official.

NPPES Registry Identity

NPI1124807169
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCLEAR VIEW NP IN PSYCHIATRY PC
Location Address4016 74TH STElmhurst, NY 11373-5602
Mailing Address600 5th AveNew Hyde Park, NY 11040-5450 · (847) 305-0810
Organization SubpartNo
Authorized OfficialShahruma IslamOwner · (847) 305-0810
Enumeration DateSeptember 28, 2023
Last NPPES UpdateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1124807169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4016 74TH ST, Elmhurst, NY 11373

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear View Np In Psychiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clear View Np In Psychiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1942874771
600 5TH AVE
New Hyde Park, NY 11040
(847) 305-0810
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear View Np In Psychiatry PC's NPI number?

The NPI number for Clear View Np In Psychiatry PC is 1124807169. It was assigned to this organization in the NPPES registry on September 28, 2023.

Where is Clear View Np In Psychiatry PC located?

Clear View Np In Psychiatry PC is located at 4016 74th St, Elmhurst, NY 11373. The listed phone number is (718) 682-7090.

What is Clear View Np In Psychiatry PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clear View Np In Psychiatry PC enrolled in Medicare?

Yes. Clear View Np In Psychiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clear View Np In Psychiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clear View Np In Psychiatry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clear View Np In Psychiatry PC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.