BRYAN LACKEY PMHNP-BC
NPI 1891305645
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Bryan Lackey's NPI number?

The NPI number for Bryan Lackey is 1891305645. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Q: What is Bryan Lackey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryan Lackey was last updated on August 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 06, 2020PECOS EnrolledAccepts Medicare Assignment

230 PARK AVE FL 3, NEW YORK, NY 10169(516) 505-7200(949) 419-3482 Get Directions Write a Review

NPPES record last updated: August 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2022, Jan 16, 2021, Jan 2, 2021 and 2 more (5 updates tracked since 2020).

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About Bryan Lackey Pmhnp-bc NPPES

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

BRYAN LACKEY PMHNP-BC (NPI 1891305645) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (403117) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoboken, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891305645

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBRYAN LACKEYCredential: PMHNP-BC

Location Address230 PARK AVE FL 3New York, NY 10169-0018

Mailing Address230 Park Ave Fl 3New York, NY 10169-0018 · (347) 861-6651 · Fax (949) 419-3482

Phone(516) 505-7200

Fax(949) 419-3482

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 6, 2020

Last NPPES UpdateAugust 14, 20225 updates tracked since enumeration

NPPES CertifiedAugust 14, 2022

✔ NPI 1891305645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in NY · 403117✔ Licensed in NJ · 26NJ01045800

230 PARK AVE FL 3, New York, NY 10169

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Secondary Practice Location 1

Location 1221 River St, 9th FloorHoboken, NJ 07030 · Phone (201) 308-8252 · Fax (949) 419-3482

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Lackey Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305250846

PECOS Enrollment IDI20210308001969, I20211215002888

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.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

171 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

140 services18 patients

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.

36 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10169 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON DOVE LMSW

Social Worker

230 PARK AVE FL 3
NEW YORK, NY 10169

New York County (516) 505-7200

NY PROACTIVE MEDICINE PC

General Practice

230 PARK AVE FL 3
NEW YORK, NY 10169

New York County (917) 310-5621

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 Bryan Lackey's NPI number?

The NPI number for Bryan Lackey is 1891305645. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Bryan Lackey located?

Bryan Lackey practices at 230 Park Ave Fl 3, New York, NY 10169. The listed phone number is (516) 505-7200.

What is Bryan Lackey's specialty?

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

Is Bryan Lackey enrolled in Medicare?

Yes. Bryan Lackey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Lackey accept?

Health plans from Providence Health Plan list Bryan Lackey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Lackey was last updated on August 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.