MARK SHKLOVSKY PMHNP-BC NPI 1720739329

NPI Information

  • NPI: 1720739329
  • Provider Name: MARK SHKLOVSKY, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1669 BEDFORD AVE FL 2
    BROOKLYN, NY
    ZIP 11225
  • Phone: (718) 439-8972

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NPI Details

Mark Shklovsky, PMHNP-BC is a psychiatric/mental health nurse practitioner in Brooklyn, NY. Mark Shklovsky, PMHNP-BC NPI is 1720739329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1669 BEDFORD AVE FL 2
BROOKLYN, NY
ZIP 11225-009
Phone: (718) 439-8972
Fax: (646) 829-1448

The NPI 1720739329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse746484NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health404829NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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