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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela Kissoondhan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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
## 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.