MODERN PSYCHIATRIC NURSE PRACTITIONER PC
MODERN PSYCHIATRIC NURSE PRACTITIONER PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1518415983, based in Brooklyn, NY. It is classified under Psychiatric/Mental Health Nurse Practitioner.
Getting there
The practice address on file is 1740 84TH ST, Brooklyn, NY 11214. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| F401646 | NY | Psychiatric/Mental Health Nurse… primary |
This provider holds licence F401646 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0840570297
Enrolled in Medicare 9 times, across 9 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New York | O20161201000875 | Part B Supplier - Clinic/group Practice |
| Vermont | O20201218002357 | Part B Supplier - Clinic/group Practice |
| Georgia | O20201230001845 | Part B Supplier - Clinic/group Practice |
| Massachusetts | O20240410000087 | Part B Supplier - Clinic/group Practice |
| Missouri | O20250529001311 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20250729000251 | Part B Supplier - Clinic/group Practice |
| Florida | O20260326003530 | Part B Supplier - Clinic/group Practice |
| Minnesota | O20260514004245 | Part B Supplier - Clinic/group Practice |
| Nebraska | O20260527001510 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 9 separate enrolment records across 9 states (NY, VT, GA, MA, MO, PA, FL, MN, NE). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1518415983 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 14, 2016 |
| Last updated | Jan 19, 2023 |
| Status | Active |
| Practice address |
1740 84TH ST Brooklyn, NY 11214 (718) 855-8584 |
| Mailing address |
191 ORCHARD ST APT. 4D New York, NY 10002 |
| Other identifiers |
03793386
· Medicaid (NY) A400097567 · Other (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 1 | 8 | 4 | 1 | 5 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 2 | 8 | 8 | 1 | 1 | 9 | 7 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.