| Athenapsych Llc | |
|
2825 3rd Ave Ste 402 Bronx NY 10455-4066 | |
| (718) 520-8000 | |
| Not Available |
| Full Name | Athenapsych Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2825 3rd Ave Ste 402, Bronx, New York |
| Authorized Official Name and Position | Charles Robins (CO-OWNER) |
| Authorized Official Contact | 7185208000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athenapsych Llc Po Box 237181 New York NY 10023-0032 Ph: (718) 520-8000 | Athenapsych Llc 2825 3rd Ave Ste 402 Bronx NY 10455-4066 Ph: (718) 520-8000 |
| NPI Number | 1679244768 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 0446648893 |
|---|---|
| Medicare Enrollment ID | O20211104000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679244768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sander Koyfman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407974751 PECOS PAC ID: 8224114459 Enrollment ID: I20080327000527 |
| Provider Name | Charles E Robins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346362951 PECOS PAC ID: 8729201603 Enrollment ID: I20140521002173 |
| Provider Name | Ryan Craig Ebersole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255950614 PECOS PAC ID: 0648690370 Enrollment ID: I20201020000650 |
| Provider Name | Allison Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730534140 PECOS PAC ID: 0648682658 Enrollment ID: I20201216001783 |
| Provider Name | Claudia P Hinojosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548425507 PECOS PAC ID: 8820401763 Enrollment ID: I20210113001822 |
| Provider Name | Evelyn D Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346750627 PECOS PAC ID: 7214336908 Enrollment ID: I20210601000057 |
| Provider Name | Krystal T Roames |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073021598 PECOS PAC ID: 4789060054 Enrollment ID: I20221011000341 |
| Provider Name | Kaitlyn N Farazi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033602248 PECOS PAC ID: 7214303510 Enrollment ID: I20221011002004 |
| Provider Name | Tobin M Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174242895 PECOS PAC ID: 3577939875 Enrollment ID: I20221011002066 |
| Provider Name | Tamica J Duclair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407240146 PECOS PAC ID: 3274909536 Enrollment ID: I20221012001567 |
| Provider Name | Olivia B Karwowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023560737 PECOS PAC ID: 7911373162 Enrollment ID: I20221013001414 |
| Provider Name | Vivian Palacios Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730658816 PECOS PAC ID: 5890120059 Enrollment ID: I20221205001002 |
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