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DR. CARLISDANIA MENDOZA M.D.
NPI 1366899767
Psychiatry & Neurology - Psychiatry in Brooklyn, NY

Active since May 16, 2016PECOS Enrolled
4907 4TH AVE APT 3B, BROOKLYN, NY 11220(917) 284-8687(978) 224-5530 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2025, Jul 2, 2020, May 16, 2016 (3 updates tracked since 2016).

About Dr. Carlisdania Mendoza M.d. NPPES

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

DR. CARLISDANIA MENDOZA M.D. (NPI 1366899767) is an individual psychiatry provider in Brooklyn, New York, licensed in New York (304092) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366899767
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CARLISDANIA MENDOZACredential: M.D.
Location Address4907 4TH AVE APT 3BBrooklyn, NY 11220-2494
Mailing Address4907 4th Ave Apt 3bBrooklyn, NY 11220-2494 · (917) 284-8687 · Fax (978) 224-5530
Phone(917) 284-8687
Fax(978) 224-5530
Sole ProprietorYes
Enumeration DateMay 16, 2016
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1366899767 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 NY · 304092
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4907 4TH AVE APT 3B, Brooklyn, NY 11220
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlisdania Mendoza M.d. 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 Reassignments

2

Medicare enrollment records show Carlisdania Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Department Of Psychiatry Fpp
0.9 mi
Psychiatry
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 94 clinicians in this Medicare group
NPI 1376656710 (718) 283-8773
Maimonides Faculty Practice Plan
0.9 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Carlisdania Mendoza's NPI number?

The NPI number for Carlisdania Mendoza is 1366899767. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Carlisdania Mendoza located?

Carlisdania Mendoza practices at 4907 4th Ave Apt 3B, Brooklyn, NY 11220. The listed phone number is (917) 284-8687.

What is Carlisdania Mendoza's specialty?

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

Is Carlisdania Mendoza enrolled in Medicare?

Yes. Carlisdania Mendoza is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlisdania Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlisdania Mendoza reassigns Medicare benefits to 2 organizations: Maimonides Department Of Psychiatry Fpp (Brooklyn, NY) and Maimonides Faculty Practice Plan (Brooklyn, NY). Each 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 Carlisdania Mendoza'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 Carlisdania Mendoza was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.