| Brooklyn Center For Psychotherapy,inc. | |
|
300 Flatbush Ave Brooklyn NY 11217-2812 | |
| (718) 622-2000 | |
| (718) 398-3328 |
| Full Name | Brooklyn Center For Psychotherapy,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Flatbush Ave, Brooklyn, New York |
| Authorized Official Name and Position | Mark Salomon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7188622200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Center For Psychotherapy,inc. 300 Flatbush Ave Brooklyn NY 11217-2812 Ph: (718) 622-2000 | Brooklyn Center For Psychotherapy,inc. 300 Flatbush Ave Brooklyn NY 11217-2812 Ph: (718) 622-2000 |
| NPI Number | 1275516213 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 05/14/2015 |
| Medicare PECOS PAC ID | 9436041621 |
|---|---|
| Medicare Enrollment ID | O20040324001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275516213 | NPI | - | NPPES |
| 00244651 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6727100A (New York) | Primary |
| Provider Name | Genevieve Rosenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790704542 PECOS PAC ID: 5991797680 Enrollment ID: I20040401001077 |
| Provider Name | Cheryl B Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740351576 PECOS PAC ID: 5092770180 Enrollment ID: I20041201000019 |
| Provider Name | Margarita E Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780801209 PECOS PAC ID: 0941349716 Enrollment ID: I20091208000404 |
| Provider Name | Robyn S Kopet Lehman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487719183 PECOS PAC ID: 2567645336 Enrollment ID: I20110331000953 |
| Provider Name | Marcellus Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003038274 PECOS PAC ID: 5395929830 Enrollment ID: I20110407000812 |
| Provider Name | Carol Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134414071 PECOS PAC ID: 3971737313 Enrollment ID: I20131017001901 |
| Provider Name | Nixon Cornay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164835211 PECOS PAC ID: 4587985171 Enrollment ID: I20150608002329 |
| Provider Name | Stacey N Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467512475 PECOS PAC ID: 8921107368 Enrollment ID: I20151130000792 |
| Provider Name | Toby F Mailman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447320882 PECOS PAC ID: 5799083523 Enrollment ID: I20160412001887 |
| Provider Name | Gian A Leonzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392246 PECOS PAC ID: 5991079824 Enrollment ID: I20170915002456 |
| Provider Name | Takiysha Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073974143 PECOS PAC ID: 0749548139 Enrollment ID: I20171212001892 |
| Provider Name | Marie Anne Rose Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245570282 PECOS PAC ID: 8022355973 Enrollment ID: I20190130001881 |
| Provider Name | Stephanie E Ferrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942749270 PECOS PAC ID: 3870829906 Enrollment ID: I20190729000377 |
| Provider Name | Evelyn M Zambrana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114124500 PECOS PAC ID: 2466782321 Enrollment ID: I20190919002655 |
| Provider Name | Ronit S Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497930820 PECOS PAC ID: 9234460627 Enrollment ID: I20191016002106 |
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