DR. RENEE S KOHANSKI M.D.
NPI 1336354109
Psychiatry & Neurology - Psychiatry in Mystic, CT

Active since May 14, 2007Opted out of Medicare · through Nov 13, 2027
11 MAIN ST, MYSTIC, CT 06355(860) 334-4576(855) 800-6850 Get Directions Write a Review

NPPES record last updated: August 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Renee S Kohanski M.d. NPPES

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

DR. RENEE S KOHANSKI M.D. (NPI 1336354109) is an individual psychiatry provider in Mystic, Connecticut, licensed in Connecticut (038625) and active in the NPI registry since May 2007. She has opted out of Medicare through November 13, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336354109
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RENEE S KOHANSKICredential: M.D.
Location Address11 MAIN STMystic, CT 06355
Mailing Address11 Main StMystic, CT 06355-3654 · (860) 334-4576 · Fax (855) 800-6850
Fax(855) 800-6850
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 26, 2018
NPI 1336354109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CT · 038625
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 038625 (CT)
11 MAIN ST, Mystic, CT 06355

Secondary Practice Locations 2

Location 1130 New London TpkeNorwich, CT 06360-2624 · Phone (860) 859-0006 · Fax (860) 443-5990
Location 2358 Montauk AvenueNew London, CT 06320-2645 · Phone (860) 443-1396 ext. 2091 · Fax (855) 800-6850

Other Identifiers 1

Other061673812CT · Tax Id Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Renee S Kohanski M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2017 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2017
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

Physical Therapist (Orthopedic)
11 MAIN ST
MYSTIC, CT 06355
Social Worker (Clinical)
11 MAIN ST
MYSTIC, CT 06355
Social Worker (Clinical)
11 MAIN ST, 6
MYSTIC, CT 06355
Counselor (Professional)
11 MAIN ST
MYSTIC, CT 06355
Counselor (Professional)
11 MAIN ST, SUITE 10-11
MYSTIC, CT 06355
Social Worker (Clinical)
11 MAIN ST
MYSTIC, CT 06355
Internal Medicine
11 MAIN ST
MYSTIC, CT 06355
Community/Behavioral Health
11 MAIN ST
MYSTIC, CT 06355

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 Renee Kohanski's NPI number?

The NPI number for Renee Kohanski is 1336354109. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Renee Kohanski located?

Renee Kohanski practices at 11 Main St, Mystic, CT 06355. The listed phone number is (860) 334-4576.

What is Renee Kohanski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Renee Kohanski enrolled in Medicare?

No. Renee Kohanski has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Renee Kohanski was last updated on August 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.