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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174251318

Renat Khasanov, MSN, PMHNP-BC, RN is a Psychiatric/Mental Health Nurse Practitioner in Glen Oaks, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

75-59 263rd St
Glen Oaks, NY 11004-1100
Phone: (718) 470-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 451 Clarkson Ave, Brooklyn, NY 11203-2054 — (917) 969-6012

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404349 (NY)

Record details

NPI number1174251318
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , PMHNP-BC , RN
Sole proprietorYes
NPI enumeratedAugust 14, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

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