| Brooklyn Minds Psychiatry, P.c. | |
|
253 W 28th St New York NY 10001-5914 | |
| (929) 296-1624 | |
| (888) 374-3251 |
| Full Name | Brooklyn Minds Psychiatry, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 253 W 28th St, New York, New York |
| Authorized Official Name and Position | Amanda Itzkoff (OWNER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Minds Psychiatry, P.c. 253 W 28th St New York NY 10001-5914 Ph: (917) 451-7018 | Brooklyn Minds Psychiatry, P.c. 253 W 28th St New York NY 10001-5914 Ph: (929) 296-1624 |
| NPI Number | 1992249098 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 7618301847 |
|---|---|
| Medicare Enrollment ID | O20191223000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992249098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2785171 (New York) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Stephen Geisler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891859914 PECOS PAC ID: 5890765226 Enrollment ID: I20040730001060 |
| Provider Name | Amanda R Tinkelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770737793 PECOS PAC ID: 1658545314 Enrollment ID: I20111116000149 |
| Provider Name | Carlene M Macmillan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689801417 PECOS PAC ID: 8123286192 Enrollment ID: I20180321002480 |
| Provider Name | Naema Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174899231 PECOS PAC ID: 9335380088 Enrollment ID: I20180919002833 |
| Provider Name | Rachele Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629472915 PECOS PAC ID: 3971933607 Enrollment ID: I20200421002227 |
| Provider Name | Vera Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851699508 PECOS PAC ID: 0941561112 Enrollment ID: I20210120001501 |
| Provider Name | Jada Khosla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457474272 PECOS PAC ID: 0648589192 Enrollment ID: I20210402000263 |
| Provider Name | Porscha Dickens Campbell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841619772 PECOS PAC ID: 4082966429 Enrollment ID: I20211123001711 |
| Provider Name | Kevin William Cates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720582190 PECOS PAC ID: 7315338183 Enrollment ID: I20220105001528 |
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