PAMELA KISSOONDHAN
NPI 1881053981
Nurse Practitioner - Psychiatric/Mental Health in Brentwood, NY
About Pamela Kissoondhan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA KISSOONDHAN (NPI 1881053981) is an individual psychiatric/mental health provider in Brentwood, New York, licensed in New York (F401541) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela Kissoondhan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pamela Kissoondhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Brentwood, NY 11717
- Reassigned Medicare billing, New York enrollment
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST BRENTWOOD, NY 11717
WEST BRENTWOOD, NY 11717
WEST BRENTWOOD, NY 11717
WEST BRENTWOOD, NY 11717
W BRENTWOOD, NY 11717
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 Pamela Kissoondhan's NPI number?
The NPI number for Pamela Kissoondhan is 1881053981. It was assigned to this individual provider in the NPPES registry on February 17, 2016.
Where is Pamela Kissoondhan located?
Pamela Kissoondhan practices at 998 Crooked Hill Rd, Brentwood, NY 11717. The listed phone number is (631) 761-3500.
What is Pamela Kissoondhan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Pamela Kissoondhan enrolled in Medicare?
Yes. Pamela Kissoondhan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pamela Kissoondhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Kissoondhan reassigns Medicare benefits to Nys Office Of Mental Health (West Brentwood, 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 Pamela Kissoondhan'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 Pamela Kissoondhan was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Pamela Kissoondhan · NPI 1881053981
Psychiatric/Mental Health physician in Brentwood, New York. Individual provider, active in the CMS NPPES registry since February 17, 2016.
## Identity
- **NPI:** 1881053981 (Entity type: Individual)
- **Enumerated:** February 17, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F401541 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 998 CROOKED HILL RD, Brentwood, NY 11717-1019
- **Phone:** (631) 761-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nys Office Of Mental Health (NPI 1578627485, West Brentwood, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1881053981) · Data from the CMS NPPES public registry.