Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johan Agudelo, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1851249114

Johan Agudelo, PMHNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2025, 1 year ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

5030 Broadway
New York, NY 10034-1609
Phone: (844) 663-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 408048 (NY)

Record details

NPI number1851249114
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 20, 2026
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jewish Board Of Family And Childrens Services Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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