KO PSYCHIATRIC NP PC
NPI 1912649377
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since April 07, 2022
9517 AVENUE J, BROOKLYN, NY 11236(917) 553-4040 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ko Psychiatric Np Pc NPPES

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

KO PSYCHIATRIC NP PC (NPI 1912649377) is a healthcare organization registered as a psychiatric/mental health in Brooklyn, New York and active in the NPI registry since April 2022. The organization lists Kira Oppenheim, Np, as its authorized official.

NPPES Registry Identity

NPI1912649377
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKO PSYCHIATRIC NP PC
Location Address9517 AVENUE JBrooklyn, NY 11236-3904
Mailing Address262 Ardsley StStaten Island, NY 10306-1632
Organization SubpartNo
Authorized OfficialKira OppenheimNp · (917) 553-4040
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1912649377 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
9517 AVENUE J, Brooklyn, NY 11236

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Ko Psychiatric Np 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 Ko Psychiatric Np PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1083737555
2327 83RD ST SUITE D
Brooklyn, NY 11214
(718) 236-0700
✔ PECOS✔ Accepts Medicare5.5 mi

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 Ko Psychiatric Np PC's NPI number?

The NPI number for Ko Psychiatric Np PC is 1912649377. It was assigned to this organization in the NPPES registry on April 7, 2022.

Where is Ko Psychiatric Np PC located?

Ko Psychiatric Np PC is located at 9517 Avenue J, Brooklyn, NY 11236. The listed phone number is (917) 553-4040.

What is Ko Psychiatric Np PC's specialty?

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

Is Ko Psychiatric Np PC enrolled in Medicare?

Yes. Ko Psychiatric Np PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ko Psychiatric Np PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ko Psychiatric Np 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 Ko Psychiatric Np PC was last updated on April 7, 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.