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PRIETO MEDICAL PRACTICE, PLLC
NPI 1952191371
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brooktondale, NY

Active since May 08, 2025
1638 CODDINGTON RD, BROOKTONDALE, NY 14817(510) 292-1957(510) 292-1957 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 17, 2025, May 8, 2025 (2 updates tracked since 2025).

About Prieto Medical Practice, Pllc NPPES

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

PRIETO MEDICAL PRACTICE, PLLC (NPI 1952191371) is a healthcare organization registered as a mental health (including community mental health center) in Brooktondale, New York and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Ithaca and lists Helena Prieto, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1952191371
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePRIETO MEDICAL PRACTICE, PLLC
Location Address1638 CODDINGTON RDBrooktondale, NY 14817-9542
Mailing Address1638 Coddington RdBrooktondale, NY 14817-9542 · (510) 292-1957 · Fax (510) 292-1957
Phone(510) 292-1957
Fax(510) 292-1957
Organization SubpartNo
Authorized OfficialHelena PrietoOwner, Physician · (510) 292-1957
Enumeration DateMay 8, 2025
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1952191371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1638 CODDINGTON RD, Brooktondale, NY 14817
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Secondary Practice Location 1

Location 1200 Pleasant Grove RdIthaca, NY 14850-2664 · Phone (607) 708-9791

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prieto Medical Practice, Pllc 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 Prieto Medical Practice, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Helena Prieto, DO
Psychiatry
NPI 1841810827
571 SAINT JOSEPHS BLVD STE 304
Elmira, NY 14901
(607) 737-7012
✔ PECOS27 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 Prieto Medical Practice, PLLC's NPI number?

The NPI number for Prieto Medical Practice, PLLC is 1952191371. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Prieto Medical Practice, PLLC located?

Prieto Medical Practice, PLLC is located at 1638 Coddington Rd, Brooktondale, NY 14817. The listed phone number is (510) 292-1957.

What is Prieto Medical Practice, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Prieto Medical Practice, PLLC enrolled in Medicare?

Yes. Prieto Medical Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prieto Medical Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Prieto Medical Practice, PLLC. 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 Prieto Medical Practice, PLLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.