| Blanton-peale Counseling Center | |
|
7 West 30th Street 9th Floor New York City NY 10001 | |
| (212) 725-7850 | |
| (212) 967-4919 |
| Full Name | Blanton-peale Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 7 West 30th Street, New York City, New York |
| Authorized Official Name and Position | Ann Kennedy Springer (CLINIC DIRECTOR) |
| Authorized Official Contact | 2127257850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanton-peale Counseling Center 7 West 30th Street 9th & 10th Floor New York City NY 10001 Ph: (212) 725-7850 | Blanton-peale Counseling Center 7 West 30th Street 9th Floor New York City NY 10001 Ph: (212) 725-7850 |
| NPI Number | 1225195787 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 09/03/2019 |
| Medicare PECOS PAC ID | 9234020330 |
|---|---|
| Medicare Enrollment ID | O20040319001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225195787 | NPI | - | NPPES |
| 00244720 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6673100A (New York) | Primary |
| Provider Name | Sejal Satish Shah Thum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225062979 PECOS PAC ID: 5496717852 Enrollment ID: I20041028000943 |
| Provider Name | Bernard P. Colonna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508808452 PECOS PAC ID: 7315959889 Enrollment ID: I20060627000197 |
| Provider Name | Laura H Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497712244 PECOS PAC ID: 0749346047 Enrollment ID: I20090312000237 |
| Provider Name | Sheldon Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467506998 PECOS PAC ID: 6901938406 Enrollment ID: I20100720000123 |
| Provider Name | Ana Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912064460 PECOS PAC ID: 1254504244 Enrollment ID: I20111108000664 |
| Provider Name | Vaibhav Bhatia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568693661 PECOS PAC ID: 4385897859 Enrollment ID: I20130111000199 |
| Provider Name | Ann K Springer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285929083 PECOS PAC ID: 2567693906 Enrollment ID: I20140327000991 |
| Provider Name | Murtuza Zakir Gunja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932493913 PECOS PAC ID: 6709104631 Enrollment ID: I20150406000799 |
| Provider Name | Patricia E Frey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538426796 PECOS PAC ID: 0244541589 Enrollment ID: I20150612001722 |
| Provider Name | Hart N Kopple-perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790045318 PECOS PAC ID: 3971815457 Enrollment ID: I20150713000813 |
| Provider Name | Matthew Kilthau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831456151 PECOS PAC ID: 2062726490 Enrollment ID: I20150729010002 |
| Provider Name | Christina R Shayevitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982979217 PECOS PAC ID: 2365745908 Enrollment ID: I20160114002170 |
| Provider Name | Erik H Bengtsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558636878 PECOS PAC ID: 7113225053 Enrollment ID: I20160411000682 |
| Provider Name | Daniel T Mcgovern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972878379 PECOS PAC ID: 9234410945 Enrollment ID: I20170111000673 |
| Provider Name | Beverly Ann Pazur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205944287 PECOS PAC ID: 2163704206 Enrollment ID: I20170124003054 |
| Provider Name | Ositadinma L Mbadugha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801214937 PECOS PAC ID: 3678844420 Enrollment ID: I20170811002961 |
| Provider Name | Benjamin Medrano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215348594 PECOS PAC ID: 9133492614 Enrollment ID: I20170905002134 |
| Provider Name | Beatriz Cruz-alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922426063 PECOS PAC ID: 7517230964 Enrollment ID: I20170906002025 |
| Provider Name | Rachel T Wiedermann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801281803 PECOS PAC ID: 8123374360 Enrollment ID: I20180702001279 |
| Provider Name | Tara N Cerreta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013302454 PECOS PAC ID: 8325398605 Enrollment ID: I20180906003500 |
| Provider Name | Ann Marie M Cassidy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609261072 PECOS PAC ID: 5395095368 Enrollment ID: I20180912002804 |
| Provider Name | Paul E Poulakos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558715383 PECOS PAC ID: 2668718610 Enrollment ID: I20190211000109 |
| Provider Name | Chang Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477059277 PECOS PAC ID: 0446596761 Enrollment ID: I20211015001778 |
| Provider Name | Adam A Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700443751 PECOS PAC ID: 0941681571 Enrollment ID: I20220713004039 |
Keith Sedlacek Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 E 79th, 1 C, New York City, NY 10021 Phone: 212-288-9309 |