ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC
NPI 1548955586
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is Ellen Kudrow Np In Psychiatry And Np In Family Health PC's specialty?

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

Active since April 06, 2023

350 91ST ST STE 1A, BROOKLYN, NY 11209(929) 992-3202(929) 323-0474 Get Directions Write a Review

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

Record update history: Jan 18, 2026, May 23, 2023, Apr 6, 2023 (3 updates tracked since 2023).

On this page

About Ellen Kudrow Np In Psychiatry And Np In Family Health Pc NPPES

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

ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC (NPI 1548955586) is a healthcare organization registered as a psychiatric/mental health in Brooklyn, New York and active in the NPI registry since April 2023. The organization lists Mia Camilliere, Office Manager/patient Coordinator, as its authorized official.

NPPES Registry Identity

NPI1548955586

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC

Location Address350 91ST ST STE 1ABrooklyn, NY 11209-5853

Mailing Address350 91st St Ste 1aBrooklyn, NY 11209-5853 · (929) 992-3202 · Fax (929) 323-0474

Phone(929) 992-3202

Fax(929) 323-0474

Organization SubpartNo

Authorized OfficialMia CamilliereOffice Manager/patient Coordinator · (929) 992-3202

Enumeration DateApril 6, 2023

Last NPPES UpdateJanuary 18, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2026

✔ NPI 1548955586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

350 91ST ST STE 1A, Brooklyn, NY 11209

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Kudrow Np In Psychiatry And Np In Family Health 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 Ellen Kudrow Np In Psychiatry And Np In Family Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ellen Kudrow, FNP-BC

Nurse Practitioner

NPI 1689054199

350 91ST ST STE 1A
Brooklyn, NY 11209

(929) 992-3202

✔ PECOS✔ Accepts MedicareSame address

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 Ellen Kudrow Np In Psychiatry And Np In Family Health PC's NPI number?

The NPI number for Ellen Kudrow Np In Psychiatry And Np In Family Health PC is 1548955586. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Ellen Kudrow Np In Psychiatry And Np In Family Health PC located?

Ellen Kudrow Np In Psychiatry And Np In Family Health PC is located at 350 91st St Ste 1A, Brooklyn, NY 11209. The listed phone number is (929) 992-3202.

What is Ellen Kudrow Np In Psychiatry And Np In Family Health PC's specialty?

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

Is Ellen Kudrow Np In Psychiatry And Np In Family Health PC enrolled in Medicare?

Yes. Ellen Kudrow Np In Psychiatry And Np In Family Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellen Kudrow Np In Psychiatry And Np In Family Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ellen Kudrow Np In Psychiatry And Np In Family Health 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 Ellen Kudrow Np In Psychiatry And Np In Family Health PC was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.