| Bleuler Psychotherapy Center, Inc. | |
|
104-70 Queens Boulevard Suite 200 Forest Hills NY 11375 | |
| (718) 275-6010 | |
| (718) 275-6062 |
| Full Name | Bleuler Psychotherapy Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 104-70 Queens Boulevard, Forest Hills, New York |
| Authorized Official Name and Position | Steven J Helfand (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7182756010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bleuler Psychotherapy Center, Inc. 104-70 Queens Boulevard Suite 200 Forest Hills NY 11375 Ph: (718) 275-6010 | Bleuler Psychotherapy Center, Inc. 104-70 Queens Boulevard Suite 200 Forest Hills NY 11375 Ph: (718) 275-6010 |
| NPI Number | 1801949706 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 3274425988 |
|---|---|
| Medicare Enrollment ID | O20040326001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801949706 | NPI | - | NPPES |
| 00244266 | Medicaid | NY | |
| 244266 | Medicaid | NY |
| Provider Name | Jan L Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861502767 PECOS PAC ID: 5991789166 Enrollment ID: I20040615001399 |
| Provider Name | Gary Weinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184712945 PECOS PAC ID: 2769467265 Enrollment ID: I20040621000110 |
| Provider Name | Yevgeniy Khaldarov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710932926 PECOS PAC ID: 3476530734 Enrollment ID: I20040702001295 |
| Provider Name | Lauren Lesser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619170503 PECOS PAC ID: 7214907153 Enrollment ID: I20040728001353 |
| Provider Name | Renee J Abt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073645727 PECOS PAC ID: 3173591112 Enrollment ID: I20040917001038 |
| Provider Name | Stanley L Rustin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811046196 PECOS PAC ID: 2365498110 Enrollment ID: I20050324001041 |
| Provider Name | Hasina A Haroon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053345223 PECOS PAC ID: 8426082553 Enrollment ID: I20050919000895 |
| Provider Name | Parasram Persad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356425490 PECOS PAC ID: 6406871854 Enrollment ID: I20051013001100 |
| Provider Name | Sherri M Flournoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508905621 PECOS PAC ID: 2769584366 Enrollment ID: I20070228000629 |
| Provider Name | Javier Senosiain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396894549 PECOS PAC ID: 5890898001 Enrollment ID: I20070308000365 |
| Provider Name | Omar A Pena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700965415 PECOS PAC ID: 5799836706 Enrollment ID: I20090702000664 |
| Provider Name | Pamela Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457493900 PECOS PAC ID: 3173702305 Enrollment ID: I20110120000482 |
| Provider Name | Leonard Tuzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417006685 PECOS PAC ID: 6608059092 Enrollment ID: I20110322000982 |
| Provider Name | Paulina Ulano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881745883 PECOS PAC ID: 9436334422 Enrollment ID: I20110509000032 |
| Provider Name | Kren K Shriver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699833939 PECOS PAC ID: 0840467239 Enrollment ID: I20120126000184 |
| Provider Name | Rene G Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629387444 PECOS PAC ID: 3678722238 Enrollment ID: I20120926000180 |
| Provider Name | Sharon B Sageman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518981471 PECOS PAC ID: 5496908659 Enrollment ID: I20130122000044 |
| Provider Name | Amy Della Rocca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093994378 PECOS PAC ID: 5890920102 Enrollment ID: I20131022001453 |
| Provider Name | Saurabh Kaushik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073699781 PECOS PAC ID: 1355579285 Enrollment ID: I20140122000884 |
| Provider Name | Megan Marie Conti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851600894 PECOS PAC ID: 5991015380 Enrollment ID: I20151116001365 |
| Provider Name | Ajay Jalwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649573403 PECOS PAC ID: 4587966007 Enrollment ID: I20151230000789 |
| Provider Name | Joseph Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801039870 PECOS PAC ID: 7113229014 Enrollment ID: I20160108002545 |
| Provider Name | Emanuel J Barclay |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1679756779 PECOS PAC ID: 3779886114 Enrollment ID: I20160119002493 |
| Provider Name | Carla M Gabris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073902375 PECOS PAC ID: 8022312164 Enrollment ID: I20160210000181 |
| Provider Name | Hope Cantrell Mowery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881824100 PECOS PAC ID: 7810291770 Enrollment ID: I20160212001767 |
| Provider Name | Peter V Senatore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578937058 PECOS PAC ID: 5496051708 Enrollment ID: I20160314000809 |
| Provider Name | Seth B Dressekie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174933840 PECOS PAC ID: 9436458379 Enrollment ID: I20160428000423 |
| Provider Name | Madeline Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578684320 PECOS PAC ID: 4284765264 Enrollment ID: I20160516001483 |
| Provider Name | Sara L Wool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538209465 PECOS PAC ID: 9931495579 Enrollment ID: I20160908001650 |
| Provider Name | Michele Stefano Piccolo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932565082 PECOS PAC ID: 3971883646 Enrollment ID: I20161215001129 |
| Provider Name | Kamla N Gurcharan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095248 PECOS PAC ID: 2466739917 Enrollment ID: I20170510000994 |
| Provider Name | Ross T Mendlinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831522812 PECOS PAC ID: 5799042768 Enrollment ID: I20171129001320 |
| Provider Name | Tal Sommer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790088946 PECOS PAC ID: 3173884848 Enrollment ID: I20180221002410 |
| Provider Name | Alexandra Petrou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043611965 PECOS PAC ID: 7618239476 Enrollment ID: I20180315001460 |
| Provider Name | Luisa C Ospina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871642199 PECOS PAC ID: 1850656497 Enrollment ID: I20180531000826 |
| Provider Name | Christina E Albanese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770728123 PECOS PAC ID: 3678871738 Enrollment ID: I20180806002927 |
| Provider Name | Asia L Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730600891 PECOS PAC ID: 2668723149 Enrollment ID: I20180921002273 |
| Provider Name | Solomon I Mosheyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621590 PECOS PAC ID: 1557600723 Enrollment ID: I20190305003412 |
| Provider Name | Melissa Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831487560 PECOS PAC ID: 0244560001 Enrollment ID: I20190923000881 |
| Provider Name | Lei Zhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730648155 PECOS PAC ID: 0244560910 Enrollment ID: I20190923001830 |
| Provider Name | Olena Zakharova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734324 PECOS PAC ID: 7214212471 Enrollment ID: I20191009002576 |
| Provider Name | Mihai M. Iordache |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831275031 PECOS PAC ID: 9234434101 Enrollment ID: I20191105002167 |
| Provider Name | Victor A Amobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356532386 PECOS PAC ID: 2163768334 Enrollment ID: I20191126002108 |
| Provider Name | Tamica John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952877698 PECOS PAC ID: 3971931841 Enrollment ID: I20200309000905 |
| Provider Name | Emmanuella Saget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033353958 PECOS PAC ID: 6608297734 Enrollment ID: I20200528001193 |
| Provider Name | Darian M Gier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013490432 PECOS PAC ID: 0840608154 Enrollment ID: I20210426000725 |
| Provider Name | Jinying Liu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922520766 PECOS PAC ID: 6103225230 Enrollment ID: I20210524000070 |
| Provider Name | Stephanie B Rubenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952820847 PECOS PAC ID: 8325440845 Enrollment ID: I20210707000775 |
| Provider Name | Dawn Maria Yunus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659691962 PECOS PAC ID: 7315345618 Enrollment ID: I20211110001916 |
| Provider Name | Tatyana B Nisimova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871919084 PECOS PAC ID: 0749673572 Enrollment ID: I20220131001157 |
| Provider Name | Judia Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962754432 PECOS PAC ID: 8628462538 Enrollment ID: I20220218000146 |
| Provider Name | Elizabeth S Teitelbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124435136 PECOS PAC ID: 1759775372 Enrollment ID: I20220224002551 |
| Provider Name | Colette C Lipem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946914 PECOS PAC ID: 4789061524 Enrollment ID: I20220516002505 |
| Provider Name | Max A Bivona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528539244 PECOS PAC ID: 3971987298 Enrollment ID: I20220904000004 |
| Provider Name | Anita Szalontai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477288223 PECOS PAC ID: 2860861911 Enrollment ID: I20221212001479 |
| Provider Name | Adrienn Miklos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982003570 PECOS PAC ID: 6608249115 Enrollment ID: I20230303001627 |
| Provider Name | Alexandra Jean-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386353910 PECOS PAC ID: 9739553546 Enrollment ID: I20230317001782 |
| Provider Name | Anna P Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346770344 PECOS PAC ID: 9032574405 Enrollment ID: I20230509000073 |
| Provider Name | Zory A Wentt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720275662 PECOS PAC ID: 6204268485 Enrollment ID: I20230602000854 |
| Provider Name | Nadine Tricia-marie George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679192074 PECOS PAC ID: 6709233786 Enrollment ID: I20231113003000 |
| Provider Name | Ilona Bakman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386371649 PECOS PAC ID: 5991148363 Enrollment ID: I20240213002729 |
| Provider Name | Robert B Hendel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447658315 PECOS PAC ID: 2769826072 Enrollment ID: I20240214003358 |
| Provider Name | Karina Aquino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801663125 PECOS PAC ID: 3476998634 Enrollment ID: I20240227002921 |
| Provider Name | Iris M Gallagher Handel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023567062 PECOS PAC ID: 4183069768 Enrollment ID: I20240305003659 |
| Provider Name | Brandon M Chevere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952902371 PECOS PAC ID: 8628414109 Enrollment ID: I20240306002893 |
| Provider Name | Felicita G Egede |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134391592 PECOS PAC ID: 8123464336 Enrollment ID: I20240311001825 |
| Provider Name | Rosemarie A Sultana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336322015 PECOS PAC ID: 2668818683 Enrollment ID: I20240313001947 |
| Provider Name | Leslie S Abrams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881751030 PECOS PAC ID: 2163868001 Enrollment ID: I20240313002931 |
| Provider Name | Eduardo J Pallanza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356402119 PECOS PAC ID: 0244677326 Enrollment ID: I20240325003182 |
| Provider Name | Damara I Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750744298 PECOS PAC ID: 7315489150 Enrollment ID: I20240607000586 |
Dr Denise Granda-gilbert Clinical Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Station Square, Office On Street Level, Forest Hills, NY 11375 Phone: 718-268-8081 Fax: 718-268-2281 | |
Yes Psychotherapy Services Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10915 Queens Blvd, Ll, Forest Hills, NY 11375 Phone: 718-896-5615 Fax: 718-576-2693 | |
B Konnikow Physician Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11020 71st Rd, #104, Forest Hills, NY 11375 Phone: 718-263-3355 Fax: 718-263-3373 | |
Ezday Adult Day Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11714 Queens Blvd, 2nd Fl, Forest Hills, NY 11375 Phone: 718-575-8191 Fax: 718-575-8193 | |
Geriatric Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118-35 Queens Blvd., Suite 1403, Forest Hills, NY 11375 Phone: 718-268-6600 | |
Leslie M. Garcia, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 Austin St, 113 Lower Level, Forest Hills, NY 11375 Phone: 917-572-0013 | |
Kapwa Psychotherapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10524 63rd Dr Apt 1j, Forest Hills, NY 11375 Phone: 646-643-0796 |