Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrative Medicine Psychiatry PC

Organization Psychiatry Physician · NPI 1063010718

Integrative Medicine Psychiatry PC is a Psychiatry Physician in Brooklyn, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Prospect Park W Ste 1R
Brooklyn, NY 11215-5717
Phone: (212) 621-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1063010718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beata Lewis — President · (617) 794-8391
NPI enumeratedOctober 14, 2020
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address200 Prospect Park W Ste 1r, Brooklyn, NY 11215-5717

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