| Behavioral And Neuropsychological Consultants, Llp | |
|
1430 Broadway Bnc, Llp Ste 304 New York NY 10018-9226 | |
| (212) 840-8410 | |
| (212) 840-8415 |
| Full Name | Behavioral And Neuropsychological Consultants, Llp |
|---|---|
| Speciality | Psychologist |
| Location | 1430 Broadway, New York, New York |
| Authorized Official Name and Position | Mark J Evans (PARTNER) |
| Authorized Official Contact | 2128408410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral And Neuropsychological Consultants, Llp 1430 Broadway Bnc, Llp Ste 304 New York NY 10018-9226 Ph: (212) 840-8410 | Behavioral And Neuropsychological Consultants, Llp 1430 Broadway Bnc, Llp Ste 304 New York NY 10018-9226 Ph: (212) 840-8410 |
| NPI Number | 1205895570 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4789589409 |
|---|---|
| Medicare Enrollment ID | O20031204000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205895570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 014660 (New York) | Primary |
| Provider Name | Mark J Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518926302 PECOS PAC ID: 3577477843 Enrollment ID: I20031119000615 |
| Provider Name | Zonya Cherisse Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174953558 PECOS PAC ID: 4587895693 Enrollment ID: I20140402001076 |
| Provider Name | Elisa A. Livanos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679971782 PECOS PAC ID: 3678890258 Enrollment ID: I20150318002574 |
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