| Valera Medical, P.c. | |
|
134 N 4th St Brooklyn NY 11249-3296 | |
| (646) 450-7748 | |
| Not Available |
| Full Name | Valera Medical, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 134 N 4th St, Brooklyn, New York |
| Authorized Official Name and Position | Michele Mccleary (DIRECTOR) |
| Authorized Official Contact | 6464507748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valera Medical, P.c. 134 N 4th St Brooklyn NY 11249-3296 Ph: (646) 450-7748 | Valera Medical, P.c. 134 N 4th St Brooklyn NY 11249-3296 Ph: (646) 450-7748 |
| NPI Number | 1437782349 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 0547690521 |
|---|---|
| Medicare Enrollment ID | O20200414003279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437782349 | NPI | - | NPPES |
| Provider Name | Alena Debrosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053561738 PECOS PAC ID: 3072403062 Enrollment ID: I20040315001522 |
| Provider Name | Paolo B Travers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992892418 PECOS PAC ID: 5294787115 Enrollment ID: I20050218000214 |
| Provider Name | John Bennett Ii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417914995 PECOS PAC ID: 6406865989 Enrollment ID: I20060411000496 |
| Provider Name | Jessica A Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992857171 PECOS PAC ID: 0648272187 Enrollment ID: I20070212000635 |
| Provider Name | Valeria Serban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306942933 PECOS PAC ID: 8426153974 Enrollment ID: I20070412000226 |
| Provider Name | Melissa Swain Goodemote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124117403 PECOS PAC ID: 7618068297 Enrollment ID: I20070810000661 |
| Provider Name | Lynn E Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235386624 PECOS PAC ID: 1052476926 Enrollment ID: I20090210000681 |
| Provider Name | Nicholas N Guan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558503334 PECOS PAC ID: 2264589498 Enrollment ID: I20090406000086 |
| Provider Name | Robyn Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962553958 PECOS PAC ID: 3870617582 Enrollment ID: I20101022000394 |
| Provider Name | David E Lemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497934095 PECOS PAC ID: 6507042074 Enrollment ID: I20110517000879 |
| Provider Name | Naheed Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932389806 PECOS PAC ID: 0648457820 Enrollment ID: I20110616000179 |
| Provider Name | Anyi Hsueh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295047447 PECOS PAC ID: 5991975625 Enrollment ID: I20110907000836 |
| Provider Name | Melissa A Madalone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720213606 PECOS PAC ID: 6901077791 Enrollment ID: I20110928000296 |
| Provider Name | Zulma A Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285835462 PECOS PAC ID: 3577726801 Enrollment ID: I20120523000391 |
| Provider Name | Maureen A Hyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275827487 PECOS PAC ID: 1153568233 Enrollment ID: I20130508000678 |
| Provider Name | Christine E Rambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104151976 PECOS PAC ID: 6406094952 Enrollment ID: I20130523000181 |
| Provider Name | Paul Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134437171 PECOS PAC ID: 6002044229 Enrollment ID: I20140116000156 |
| Provider Name | Leah A Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942484829 PECOS PAC ID: 1153551601 Enrollment ID: I20140228000241 |
| Provider Name | Anna W Leung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902010440 PECOS PAC ID: 0749413995 Enrollment ID: I20140424000277 |
| Provider Name | Chana H Kaiman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255565248 PECOS PAC ID: 5698998227 Enrollment ID: I20140528001787 |
| Provider Name | Grissel Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619095759 PECOS PAC ID: 8527289149 Enrollment ID: I20141024000887 |
| Provider Name | Regine Bruny-olawaiye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336356393 PECOS PAC ID: 5395061782 Enrollment ID: I20150302001844 |
| Provider Name | Olivia Mora-lett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194114926 PECOS PAC ID: 9931425345 Enrollment ID: I20150302002266 |
| Provider Name | Julie Yankowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962817833 PECOS PAC ID: 9436477437 Enrollment ID: I20150422001330 |
| Provider Name | Robert Cataldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528245677 PECOS PAC ID: 7618284787 Enrollment ID: I20150922002481 |
| Provider Name | Carla Borges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891065934 PECOS PAC ID: 1951619683 Enrollment ID: I20150930000911 |
| Provider Name | Jennifer Anne Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023400918 PECOS PAC ID: 7719297365 Enrollment ID: I20151110002603 |
| Provider Name | Sonya Prystajko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477708782 PECOS PAC ID: 4284934209 Enrollment ID: I20151124001049 |
| Provider Name | Catherine Ann Lesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846806 PECOS PAC ID: 4789982950 Enrollment ID: I20160421000812 |
| Provider Name | Kelly Corbine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720396500 PECOS PAC ID: 0547495715 Enrollment ID: I20160603001315 |
| Provider Name | Doreen Bazile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295026680 PECOS PAC ID: 2860782653 Enrollment ID: I20160607001637 |
| Provider Name | Lisa M Hooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407210198 PECOS PAC ID: 3072809599 Enrollment ID: I20160909001649 |
| Provider Name | Heather M Berti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114226123 PECOS PAC ID: 4688953003 Enrollment ID: I20161108000248 |
| Provider Name | Anita Richardson-sasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629378039 PECOS PAC ID: 0244510881 Enrollment ID: I20161216001775 |
| Provider Name | Lauren A Richard-holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992178917 PECOS PAC ID: 9335420751 Enrollment ID: I20161227000176 |
| Provider Name | Meredith Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982846945 PECOS PAC ID: 1759515703 Enrollment ID: I20161228000194 |
| Provider Name | Natalie M Lleras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477856102 PECOS PAC ID: 0446527212 Enrollment ID: I20170526000380 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558749804 PECOS PAC ID: 0648540278 Enrollment ID: I20170714000518 |
| Provider Name | Christine Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164932539 PECOS PAC ID: 4688934730 Enrollment ID: I20180209000601 |
| Provider Name | Jessica Caderas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932367570 PECOS PAC ID: 9436411048 Enrollment ID: I20180320000507 |
| Provider Name | Teresa Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689025074 PECOS PAC ID: 7214282557 Enrollment ID: I20180611000077 |
| Provider Name | Ashley F Townsend Burch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609143247 PECOS PAC ID: 0143575779 Enrollment ID: I20180621001975 |
| Provider Name | Caitlin Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356768170 PECOS PAC ID: 8123376100 Enrollment ID: I20180808000101 |
| Provider Name | Daniel J Sweeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194976001 PECOS PAC ID: 2466702808 Enrollment ID: I20180906001340 |
| Provider Name | James Arthur Riter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639494909 PECOS PAC ID: 0840541611 Enrollment ID: I20180919000097 |
| Provider Name | Pauline Wieand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457451056 PECOS PAC ID: 6103103312 Enrollment ID: I20190213003117 |
| Provider Name | Jeffrey M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356750285 PECOS PAC ID: 9436497567 Enrollment ID: I20190214001026 |
| Provider Name | Jacqueline Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518305028 PECOS PAC ID: 0042551327 Enrollment ID: I20190415001696 |
| Provider Name | Jason Lulejian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245643048 PECOS PAC ID: 8426395062 Enrollment ID: I20190517000237 |
| Provider Name | Vilma L Vendrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427521954 PECOS PAC ID: 5698000149 Enrollment ID: I20190705001195 |
| Provider Name | Faisal Yar Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710391552 PECOS PAC ID: 5597980508 Enrollment ID: I20190829000947 |
| Provider Name | Melissa Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831487560 PECOS PAC ID: 0244560001 Enrollment ID: I20190923000881 |
| Provider Name | Eileen C Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194371708 PECOS PAC ID: 1850723412 Enrollment ID: I20191120000669 |
| Provider Name | Jatoopon Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265927974 PECOS PAC ID: 8224461561 Enrollment ID: I20191127001403 |
| Provider Name | Milica Stefanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912936824 PECOS PAC ID: 7911009758 Enrollment ID: I20200106001864 |
| Provider Name | Aiyana Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669983219 PECOS PAC ID: 7810326246 Enrollment ID: I20200406000900 |
| Provider Name | Dan Ai Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518473743 PECOS PAC ID: 4981034824 Enrollment ID: I20200417000316 |
| Provider Name | David Mou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386057487 PECOS PAC ID: 2062630379 Enrollment ID: I20200504002092 |
| Provider Name | Joseph Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770943128 PECOS PAC ID: 8628499332 Enrollment ID: I20200605000252 |
| Provider Name | Rachael Lise Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982235750 PECOS PAC ID: 6406273499 Enrollment ID: I20200908000686 |
| Provider Name | Victoria Abruzzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114401585 PECOS PAC ID: 0345669164 Enrollment ID: I20200929000743 |
| Provider Name | Emmanuel J Rosales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932647740 PECOS PAC ID: 3971922253 Enrollment ID: I20201006002668 |
| Provider Name | Shoeba A Naqvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639551757 PECOS PAC ID: 4880938778 Enrollment ID: I20201008003521 |
| Provider Name | Alan Fong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730582750 PECOS PAC ID: 6507286408 Enrollment ID: I20201014003309 |
| Provider Name | Lacarla Denise Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760682751 PECOS PAC ID: 3072924141 Enrollment ID: I20201120000514 |
| Provider Name | Dominique Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538695432 PECOS PAC ID: 5890107783 Enrollment ID: I20201217002306 |
| Provider Name | Danielle Giglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306392303 PECOS PAC ID: 9335552314 Enrollment ID: I20210112002280 |
| Provider Name | Jasmine S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528500345 PECOS PAC ID: 7618381252 Enrollment ID: I20210122001174 |
| Provider Name | Yajaira Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740727403 PECOS PAC ID: 3678987138 Enrollment ID: I20210126000164 |
| Provider Name | Genevieve Uslander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922608264 PECOS PAC ID: 3577977941 Enrollment ID: I20210126001183 |
| Provider Name | Priya Sikerwar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437608791 PECOS PAC ID: 8426462870 Enrollment ID: I20210127000789 |
| Provider Name | Katrina Hannan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588013080 PECOS PAC ID: 8820402019 Enrollment ID: I20210129000888 |
| Provider Name | Danielle Damas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124625074 PECOS PAC ID: 1153735097 Enrollment ID: I20210204000350 |
| Provider Name | Briana Monique Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073026720 PECOS PAC ID: 3779998794 Enrollment ID: I20210224001297 |
| Provider Name | Courtney Lynn Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215305917 PECOS PAC ID: 6901212208 Enrollment ID: I20210311001505 |
| Provider Name | Karina Tsareva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144844499 PECOS PAC ID: 9739595844 Enrollment ID: I20210315001271 |
| Provider Name | Evelyn Crespo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477885838 PECOS PAC ID: 4880001072 Enrollment ID: I20210406001804 |
| Provider Name | Emily Waters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134675259 PECOS PAC ID: 6002967908 Enrollment ID: I20210412001793 |
| Provider Name | Amanda M Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619271640 PECOS PAC ID: 9032527668 Enrollment ID: I20210421000692 |
| Provider Name | Yuen Shan Manna Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801105283 PECOS PAC ID: 6709149602 Enrollment ID: I20210423001850 |
| Provider Name | Siu Fong Au Yeung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528377900 PECOS PAC ID: 2062820475 Enrollment ID: I20210426000110 |
| Provider Name | Jennie Ching Hwang-lu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225145113 PECOS PAC ID: 1355759564 Enrollment ID: I20210427002283 |
| Provider Name | Jenny Dzurica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801344031 PECOS PAC ID: 1153730932 Enrollment ID: I20210506002852 |
| Provider Name | Fadekemi Suliat Olude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639766199 PECOS PAC ID: 5395154181 Enrollment ID: I20210506003082 |
| Provider Name | Shawn Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841878162 PECOS PAC ID: 3870993058 Enrollment ID: I20210609001464 |
| Provider Name | Jean Fatima Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811164510 PECOS PAC ID: 1850523473 Enrollment ID: I20210615000105 |
| Provider Name | Kathleen Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801489356 PECOS PAC ID: 7214338904 Enrollment ID: I20210701002735 |
| Provider Name | Darlene Browning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891045993 PECOS PAC ID: 2365843927 Enrollment ID: I20210702001301 |
| Provider Name | Elsa Sasha Yu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265869978 PECOS PAC ID: 3375803794 Enrollment ID: I20210720002065 |
| Provider Name | Trevor Scudamore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922538990 PECOS PAC ID: 9931446572 Enrollment ID: I20210730000717 |
| Provider Name | Ron Dean Freedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881670826 PECOS PAC ID: 3971907957 Enrollment ID: I20210812003627 |
| Provider Name | Edele Nozius-louigarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154843050 PECOS PAC ID: 3577960624 Enrollment ID: I20210916001729 |
| Provider Name | Amy Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871974667 PECOS PAC ID: 4486052909 Enrollment ID: I20211013001204 |
| Provider Name | Sarah Lynn Paston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487146668 PECOS PAC ID: 0446642110 Enrollment ID: I20220110002495 |
| Provider Name | Tran Woolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346724150 PECOS PAC ID: 3072905553 Enrollment ID: I20220112001959 |
| Provider Name | Estefania Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659675239 PECOS PAC ID: 4981996873 Enrollment ID: I20220118001509 |
| Provider Name | Emily Anne Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871045419 PECOS PAC ID: 5890187678 Enrollment ID: I20220128001474 |
| Provider Name | Jennifer Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396222790 PECOS PAC ID: 8426441833 Enrollment ID: I20220208001091 |
| Provider Name | Erika Laprairie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366112575 PECOS PAC ID: 3971996026 Enrollment ID: I20220214000118 |
| Provider Name | Chantell Teed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144617655 PECOS PAC ID: 6800289984 Enrollment ID: I20220214001259 |
| Provider Name | Joana Jacques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205331980 PECOS PAC ID: 0648664557 Enrollment ID: I20220218000093 |
| Provider Name | Victoria Lecorian Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083094791 PECOS PAC ID: 2163732884 Enrollment ID: I20220218000830 |
| Provider Name | Erica Della Jacono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851772982 PECOS PAC ID: 3779977566 Enrollment ID: I20220221000959 |
| Provider Name | Chi-yuan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174299853 PECOS PAC ID: 3779977004 Enrollment ID: I20220302000231 |
| Provider Name | Conchitina Capitly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922759281 PECOS PAC ID: 7315331659 Enrollment ID: I20220302000649 |
| Provider Name | German Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609302504 PECOS PAC ID: 1557765799 Enrollment ID: I20220307002288 |
| Provider Name | Jacqueline Netzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740586692 PECOS PAC ID: 5092109009 Enrollment ID: I20220308000307 |
| Provider Name | Danica Zoia Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013404367 PECOS PAC ID: 2466847397 Enrollment ID: I20220311000847 |
| Provider Name | Lily Mcwilliam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851933824 PECOS PAC ID: 2062807936 Enrollment ID: I20220312000172 |
| Provider Name | Alanna E Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649676453 PECOS PAC ID: 7810382348 Enrollment ID: I20220321001783 |
| Provider Name | Adebisi Tomi Tijani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235891482 PECOS PAC ID: 4284029521 Enrollment ID: I20220323000496 |
| Provider Name | Gabriella Marie Goodsell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154995041 PECOS PAC ID: 8022404003 Enrollment ID: I20220330001976 |
| Provider Name | Veena R Muthusamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669816567 PECOS PAC ID: 1557602760 Enrollment ID: I20220330002158 |
| Provider Name | Gladys Kigigha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194482570 PECOS PAC ID: 8123414828 Enrollment ID: I20220406000175 |
| Provider Name | Lyndsey Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669130258 PECOS PAC ID: 7214323823 Enrollment ID: I20220407001975 |
| Provider Name | Deanna Marie Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326551342 PECOS PAC ID: 3375930209 Enrollment ID: I20220425000880 |
| Provider Name | Henry Ehizokhale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593852 PECOS PAC ID: 0547657322 Enrollment ID: I20220426000438 |
| Provider Name | Shantel Sheryl Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568989226 PECOS PAC ID: 4284021924 Enrollment ID: I20220427000641 |
| Provider Name | Ulanda Marcus-aiyeku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637174 PECOS PAC ID: 3779992540 Enrollment ID: I20220427000928 |
| Provider Name | Mackenzie Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275027468 PECOS PAC ID: 3779970454 Enrollment ID: I20220427002179 |
| Provider Name | Mobolaji Rosanwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730753989 PECOS PAC ID: 5395132088 Enrollment ID: I20220427002373 |
| Provider Name | Tyiesha Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699200998 PECOS PAC ID: 4688061211 Enrollment ID: I20220428000948 |
| Provider Name | Stephanie Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134422264 PECOS PAC ID: 5294122651 Enrollment ID: I20220503002914 |
| Provider Name | Emily Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487105532 PECOS PAC ID: 4789061946 Enrollment ID: I20220510001239 |
| Provider Name | Laura Ann Wysocki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922768373 PECOS PAC ID: 8022495993 Enrollment ID: I20220514000022 |
| Provider Name | Cathleen M Lilavois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265193866 PECOS PAC ID: 2567849466 Enrollment ID: I20220516000647 |
| Provider Name | Andre Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144628546 PECOS PAC ID: 4688051485 Enrollment ID: I20220517001727 |
| Provider Name | Aili Amanda Hermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780198853 PECOS PAC ID: 2264819903 Enrollment ID: I20220518000595 |
| Provider Name | Marjeta Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720552326 PECOS PAC ID: 3779961909 Enrollment ID: I20220531002451 |
| Provider Name | Brianna Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407320351 PECOS PAC ID: 5799163861 Enrollment ID: I20220601001524 |
| Provider Name | Terese Corinne Line |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669114708 PECOS PAC ID: 9638557689 Enrollment ID: I20220602001767 |
| Provider Name | Kimberley Mathias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174982920 PECOS PAC ID: 9133507197 Enrollment ID: I20220602001985 |
| Provider Name | Salih Kocer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972260347 PECOS PAC ID: 3476931403 Enrollment ID: I20220603001523 |
| Provider Name | Ashley Marie Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942967724 PECOS PAC ID: 0244618981 Enrollment ID: I20220608001045 |
| Provider Name | John Anthony Stagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316689631 PECOS PAC ID: 1456730431 Enrollment ID: I20220622000789 |
| Provider Name | Melissa Wergland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811402993 PECOS PAC ID: 2860872371 Enrollment ID: I20220630000524 |
| Provider Name | Anneke Kimberly Eppley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134747173 PECOS PAC ID: 1759761208 Enrollment ID: I20220630001756 |
| Provider Name | Francesca M. Trelles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563891 PECOS PAC ID: 6608257431 Enrollment ID: I20220725002807 |
| Provider Name | Aurora Posada Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386015949 PECOS PAC ID: 2365824885 Enrollment ID: I20220801000807 |
| Provider Name | Samantha A Urell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689219750 PECOS PAC ID: 9335521624 Enrollment ID: I20220803001473 |
| Provider Name | Stephanie Cordero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386133676 PECOS PAC ID: 8921480120 Enrollment ID: I20220804002208 |
| Provider Name | Justin Tsui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487233623 PECOS PAC ID: 7012390990 Enrollment ID: I20220810003660 |
| Provider Name | Loretta M Avallone-goerke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053040337 PECOS PAC ID: 0840673562 Enrollment ID: I20220812002375 |
| Provider Name | Alana R Ribowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215551312 PECOS PAC ID: 2062825441 Enrollment ID: I20220815000169 |
| Provider Name | Michelle Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306240536 PECOS PAC ID: 4082097571 Enrollment ID: I20220816002431 |
| Provider Name | Matthew Collins Neebe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528454998 PECOS PAC ID: 6204219314 Enrollment ID: I20220822002376 |
| Provider Name | Chioma Momife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730848672 PECOS PAC ID: 5799168746 Enrollment ID: I20220824000911 |
| Provider Name | Sara Michelle Corona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376062927 PECOS PAC ID: 3870977846 Enrollment ID: I20220825002079 |
| Provider Name | Hope Eseoghene Okoroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801955661 PECOS PAC ID: 8325388622 Enrollment ID: I20220829003113 |
| Provider Name | Heather Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558893156 PECOS PAC ID: 6204104763 Enrollment ID: I20220906001590 |
| Provider Name | Denisse Arcos-pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306317219 PECOS PAC ID: 6305222670 Enrollment ID: I20221011000418 |
| Provider Name | Christina M Ralko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124594288 PECOS PAC ID: 2567838436 Enrollment ID: I20221019000858 |
| Provider Name | Haseeba Ismaiel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184128217 PECOS PAC ID: 1557738796 Enrollment ID: I20221101002327 |
| Provider Name | Katherine Jong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447614235 PECOS PAC ID: 2062703606 Enrollment ID: I20221102002057 |
| Provider Name | Lukmanafis Babajide |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134657067 PECOS PAC ID: 9931576071 Enrollment ID: I20221102003533 |
| Provider Name | Michael Olukotun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770027138 PECOS PAC ID: 3779841028 Enrollment ID: I20221103000594 |
| Provider Name | Shanet Rampersaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265996912 PECOS PAC ID: 7315314234 Enrollment ID: I20221107001867 |
| Provider Name | Daniel Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366975989 PECOS PAC ID: 3577800184 Enrollment ID: I20221111000099 |
| Provider Name | Alessia Russello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619446721 PECOS PAC ID: 7618345927 Enrollment ID: I20221117001417 |
| Provider Name | Qiana Sylvia-stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629623111 PECOS PAC ID: 6002206059 Enrollment ID: I20221117001947 |
| Provider Name | Wendy M Hornick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225625460 PECOS PAC ID: 7214305895 Enrollment ID: I20221202000229 |
| Provider Name | Jennifer Digianni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538745658 PECOS PAC ID: 1557730082 Enrollment ID: I20221206000479 |
| Provider Name | Yi Zhou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487154910 PECOS PAC ID: 9739558966 Enrollment ID: I20221212000412 |
| Provider Name | Patricia J Grendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609006949 PECOS PAC ID: 2567709280 Enrollment ID: I20221216001110 |
| Provider Name | Nicole Dettling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659825305 PECOS PAC ID: 5799154472 Enrollment ID: I20221220001773 |
| Provider Name | Sabrina Budden-wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376205856 PECOS PAC ID: 0749674711 Enrollment ID: I20221228000596 |
| Provider Name | Tatiana Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366931487 PECOS PAC ID: 3072984780 Enrollment ID: I20230117001098 |
| Provider Name | Jennifer Carino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255839437 PECOS PAC ID: 1153792783 Enrollment ID: I20230119000097 |
| Provider Name | Rachel King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700128535 PECOS PAC ID: 6507087921 Enrollment ID: I20230120000765 |
| Provider Name | Deborah A Mediate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063750222 PECOS PAC ID: 3173995834 Enrollment ID: I20230207002552 |
| Provider Name | Jessica Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497416655 PECOS PAC ID: 5698147205 Enrollment ID: I20230208001325 |
| Provider Name | Qian Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992346563 PECOS PAC ID: 4385017276 Enrollment ID: I20230223001213 |
| Provider Name | Erich Berantuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013517341 PECOS PAC ID: 5092194282 Enrollment ID: I20230316001559 |
| Provider Name | Michelle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563168 PECOS PAC ID: 8628494077 Enrollment ID: I20230403001388 |
| Provider Name | Rebecca Forer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851954135 PECOS PAC ID: 8426423484 Enrollment ID: I20230405002385 |
| Provider Name | Christie Mackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946468 PECOS PAC ID: 2062889694 Enrollment ID: I20230428001069 |
| Provider Name | Jessica Villa Alicea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518415496 PECOS PAC ID: 6305201104 Enrollment ID: I20230501001585 |
| Provider Name | Elizabeth M Gary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801568332 PECOS PAC ID: 2466817093 Enrollment ID: I20230503001847 |
| Provider Name | Kollie K. Saygbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508231861 PECOS PAC ID: 0042677411 Enrollment ID: I20230531002131 |
| Provider Name | Shana Reiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821631805 PECOS PAC ID: 6901263219 Enrollment ID: I20230601000402 |
| Provider Name | Samuel Kellogg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477028363 PECOS PAC ID: 1456718642 Enrollment ID: I20230602000777 |
| Provider Name | Greg Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386923191 PECOS PAC ID: 3072970144 Enrollment ID: I20230605002116 |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245815927 PECOS PAC ID: 9234590381 Enrollment ID: I20230804002668 |
| Provider Name | Nawras S Shukair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205030483 PECOS PAC ID: 1951456789 Enrollment ID: I20230804002780 |
| Provider Name | Laura Haekyoung Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720198179 PECOS PAC ID: 7517060551 Enrollment ID: I20230828002592 |
| Provider Name | Jaclyn Mistretta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972234649 PECOS PAC ID: 1658735410 Enrollment ID: I20230912002441 |
| Provider Name | Bensy Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326680695 PECOS PAC ID: 8123472347 Enrollment ID: I20230921003040 |
| Provider Name | Roany Isabel Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891350948 PECOS PAC ID: 2769836584 Enrollment ID: I20230928000309 |
| Provider Name | Stephanie Kimberly Sunara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528693215 PECOS PAC ID: 1355797838 Enrollment ID: I20231020000802 |
| Provider Name | Jessica Lm Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023632908 PECOS PAC ID: 9436505815 Enrollment ID: I20231020000862 |
| Provider Name | Cheralyn Patrice Nemard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083230825 PECOS PAC ID: 9931555737 Enrollment ID: I20231031002022 |
| Provider Name | Evelyn Peppas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881298008 PECOS PAC ID: 0042666711 Enrollment ID: I20231101001132 |
| Provider Name | Jennifer Spillane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093356107 PECOS PAC ID: 6507213725 Enrollment ID: I20231109002354 |
| Provider Name | Amadi Hannah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689095010 PECOS PAC ID: 8325497894 Enrollment ID: I20231208001665 |
| Provider Name | Kundong He |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497338024 PECOS PAC ID: 7618326711 Enrollment ID: I20231214003095 |
| Provider Name | Louise Anne Yee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245457548 PECOS PAC ID: 5698124709 Enrollment ID: I20231214003225 |
| Provider Name | Norma Patricia Simancas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235492687 PECOS PAC ID: 1254781149 Enrollment ID: I20231218003920 |
| Provider Name | Oluwatoyin Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952984 PECOS PAC ID: 2769859610 Enrollment ID: I20231218004061 |
| Provider Name | Chelsea White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194373852 PECOS PAC ID: 0840640066 Enrollment ID: I20231229000550 |
| Provider Name | Candey Lea Thornbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477290286 PECOS PAC ID: 4880044015 Enrollment ID: I20231229000822 |
| Provider Name | Tracy Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710635206 PECOS PAC ID: 0042694531 Enrollment ID: I20231229001098 |
| Provider Name | Paul Kariuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912675554 PECOS PAC ID: 4284021478 Enrollment ID: I20231229001140 |
| Provider Name | Patrick James Lenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811523624 PECOS PAC ID: 4385094531 Enrollment ID: I20231229001442 |
| Provider Name | Irene Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548319882 PECOS PAC ID: 3173973328 Enrollment ID: I20231229001533 |
| Provider Name | Ebony Booker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689288045 PECOS PAC ID: 0244641108 Enrollment ID: I20231229002129 |
| Provider Name | Alexis Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811393606 PECOS PAC ID: 3870944002 Enrollment ID: I20240111003013 |
| Provider Name | Nikki Daniell Simpkins-watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467181461 PECOS PAC ID: 1456702588 Enrollment ID: I20240112001744 |
| Provider Name | Brittany Whittemore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932757861 PECOS PAC ID: 3173974201 Enrollment ID: I20240112001789 |
| Provider Name | Carol Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740766997 PECOS PAC ID: 1850742982 Enrollment ID: I20240112001949 |
| Provider Name | Kelsey Morgan Depue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861059438 PECOS PAC ID: 2264884022 Enrollment ID: I20240117001279 |
| Provider Name | Molly Barak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306592282 PECOS PAC ID: 1153773916 Enrollment ID: I20240117001353 |
| Provider Name | Karin Janae Straker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144721747 PECOS PAC ID: 6901258789 Enrollment ID: I20240117001997 |
| Provider Name | Tracey Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376075838 PECOS PAC ID: 4880046572 Enrollment ID: I20240118001193 |
| Provider Name | Shondel Nurse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851919740 PECOS PAC ID: 0840642542 Enrollment ID: I20240118001341 |
| Provider Name | Nichole Ann Cavallaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497262877 PECOS PAC ID: 0244682953 Enrollment ID: I20240118001924 |
| Provider Name | Emily Meller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417604653 PECOS PAC ID: 3072965409 Enrollment ID: I20240122000642 |
| Provider Name | Yanick Francois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336774348 PECOS PAC ID: 1254783657 Enrollment ID: I20240122003387 |
| Provider Name | Kelly Michael Finn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083886642 PECOS PAC ID: 1456746890 Enrollment ID: I20240130001688 |
| Provider Name | Yaliza Cepeda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063962298 PECOS PAC ID: 8123471620 Enrollment ID: I20240131004478 |
| Provider Name | Rachel Lederman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912598798 PECOS PAC ID: 3678926961 Enrollment ID: I20240202002116 |
| Provider Name | Derek Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841522398 PECOS PAC ID: 7012382419 Enrollment ID: I20240213001582 |
| Provider Name | Anna Jovenia Lombardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851050165 PECOS PAC ID: 4688018666 Enrollment ID: I20240217000583 |
| Provider Name | David Aaron Kraus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558707224 PECOS PAC ID: 1153765003 Enrollment ID: I20240219002110 |
| Provider Name | Gwendolyn Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518291699 PECOS PAC ID: 4789027335 Enrollment ID: I20240219002708 |
| Provider Name | Varsha Pahwa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336800911 PECOS PAC ID: 5698119576 Enrollment ID: I20240219003389 |
| Provider Name | Melissa Assemi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437601770 PECOS PAC ID: 0042654642 Enrollment ID: I20240222002327 |
| Provider Name | Rosa Ruvio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346607140 PECOS PAC ID: 5597109009 Enrollment ID: I20240222002995 |
| Provider Name | Nichole C Schermerhorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710017157 PECOS PAC ID: 0042655508 Enrollment ID: I20240223004002 |
| Provider Name | Natalie Pizzolla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114431640 PECOS PAC ID: 4082059258 Enrollment ID: I20240227003066 |
| Provider Name | Samantha Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366041568 PECOS PAC ID: 0042655607 Enrollment ID: I20240305002599 |
| Provider Name | Alexandra Chinea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922771427 PECOS PAC ID: 8729425004 Enrollment ID: I20240321003549 |
| Provider Name | Abisha Merin John |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760895080 PECOS PAC ID: 8224475413 Enrollment ID: I20240329001433 |
| Provider Name | Kevin Sustad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689254203 PECOS PAC ID: 9739527094 Enrollment ID: I20240404003638 |
| Provider Name | Ruby Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265559710 PECOS PAC ID: 3577901495 Enrollment ID: I20240410002867 |
| Provider Name | Zhen Han |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861964405 PECOS PAC ID: 5395184642 Enrollment ID: I20240418003586 |
| Provider Name | Duquinha Cardoso Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194909242 PECOS PAC ID: 9537501887 Enrollment ID: I20240531001856 |
| Provider Name | Judith A Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942963749 PECOS PAC ID: 4981146123 Enrollment ID: I20240604001096 |
| Provider Name | Colleen Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205440591 PECOS PAC ID: 2961944103 Enrollment ID: I20240604001174 |
| Provider Name | Emily Rene Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578217048 PECOS PAC ID: 7810439908 Enrollment ID: I20240604003101 |
| Provider Name | Abigail Fink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902402431 PECOS PAC ID: 7719429653 Enrollment ID: I20240607000391 |
St. Vincent's Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 66 Boerum Pl, Brooklyn, NY 11201 Phone: 718-422-2307 Fax: 718-422-2271 | |
Ccms Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Elm Pl Fl 2, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493 | |
Guidance Center Of Brooklyn Heights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Chapel St Fl 9, Brooklyn, NY 11201 Phone: 718-875-7510 Fax: 718-858-8410 | |
E. Twente, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Plaza St W, Apt 2-b, Brooklyn, NY 11217 Phone: 718-622-5796 | |
Akiva Management Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Surf Ave, Brooklyn, NY 11224 Phone: 718-444-5125 Fax: 718-444-1582 | |
Everyday Superheroes Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Schermerhorn St Ste 136, Brooklyn, NY 11201 Phone: 929-277-2550 | |
Community Counseling And Mediation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hoyt St, Seventh Floor, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493 |