IGOR PREOBRAZHENSKIY MHC
NPI 1245863919
Counselor - Mental Health in Brooklyn, NY

Active since February 20, 2020PECOS Enrolled
790 BROADWAY, BROOKLYN, NY 11206(718) 388-5176 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Igor Preobrazhenskiy Mhc NPPES

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

IGOR PREOBRAZHENSKIY MHC (NPI 1245863919) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245863919
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIGOR PREOBRAZHENSKIYCredential: MHC
Location Address790 BROADWAYBrooklyn, NY 11206-5316
Mailing Address790 BroadwayBrooklyn, NY 11206-5316
Sole ProprietorNo
Enumeration DateFebruary 20, 2020
✔ NPI 1245863919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
790 BROADWAY, Brooklyn, NY 11206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Igor Preobrazhenskiy Mhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Igor Preobrazhenskiy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
73 MARKET ST FL 3
Yonkers, NY 10710
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Brave Medical PC
  • 54 clinicians in this Medicare group

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

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.

Nurse Practitioner (Psychiatric/Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Social Worker
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Counselor
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Social Worker (Clinical)
790 BROADWAY
BROOKLYN, NY 11206

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 Igor Preobrazhenskiy's NPI number?

The NPI number for Igor Preobrazhenskiy is 1245863919. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Igor Preobrazhenskiy located?

Igor Preobrazhenskiy practices at 790 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 388-5176.

What is Igor Preobrazhenskiy's specialty?

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

Is Igor Preobrazhenskiy enrolled in Medicare?

Yes. Igor Preobrazhenskiy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Igor Preobrazhenskiy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Igor Preobrazhenskiy reassigns Medicare benefits to Brave Medical P.C. (Yonkers, NY). The 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 Igor Preobrazhenskiy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Igor Preobrazhenskiy was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.