Soudabeh Shayesteh, is a
Counselor - Mental Health based in Brooklyn, New York. Soudabeh Shayesteh is licensed to practice in New York (license number 002747) and her current practice location is
404 3rd St Apt A4, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(646) 284-2767.
NPI number for Soudabeh Shayesteh is 1003338161 and her current mailing address is Po Box 417, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003338161.
Healthcare Provider's Profile
Full Name | Soudabeh Shayesteh |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 404 3rd St Apt A4, Brooklyn, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003338161
- Provider Enumeration Date: 07/11/2017
- Last Update Date: 07/20/2017
Medical Identifiers
Medical identifiers for Soudabeh Shayesteh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003338161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 14006 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 002747 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soudabeh Shayesteh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Soudabeh Shayesteh, Po Box 417, Brooklyn, NY 11215-0417 Ph: (646) 284-2767 | Soudabeh Shayesteh, 404 3rd St Apt A4, Brooklyn, NY 11215-2836 Ph: (646) 284-2767 |
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