KATRINA IM PMHNP-BC
NPI 1619463890
Nurse Practitioner - Psychiatric/Mental Health in Katonah, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since July 10, 2018PECOS Enrolled

800 CROSS RIVER RD, KATONAH, NY 10536(516) 578-1246 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2018, Jul 12, 2018 (2 updates tracked since 2018).

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About Katrina Im Pmhnp-bc NPPES

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

KATRINA IM PMHNP-BC (NPI 1619463890) is an individual psychiatric/mental health provider in Katonah, New York, licensed in New York (402462) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619463890

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATRINA IMCredential: PMHNP-BC

Location Address800 CROSS RIVER RDKatonah, NY 10536

Mailing Address800 Cross River RdKatonah, NY 10536-3549

Phone(516) 578-1246

Sole ProprietorYes

Enumeration DateJuly 10, 2018

Last NPPES UpdateAugust 9, 20182 updates tracked since enumeration

✔ NPI 1619463890 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

License✔ Licensed in NY · 402462

Also ListedRegistered NurseTaxonomy 163W00000X · License 746849 (NY)

800 CROSS RIVER RD, Katonah, NY 10536

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Im Pmhnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10536 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.