| Center Of Revitalizing Psychiatry, P.c. | |
|
795 Main Street Hackensack NJ 07601-8107 | |
| (201) 488-5161 | |
| (201) 488-5162 |
| Full Name | Center Of Revitalizing Psychiatry, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 795 Main Street, Hackensack, New Jersey |
| Authorized Official Name and Position | Rimma Babeshko (OFFICE MANAGER) |
| Authorized Official Contact | 2014885161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Revitalizing Psychiatry, P.c. 795 Main St Hackensack NJ 07601-4812 Ph: (201) 488-5161 | Center Of Revitalizing Psychiatry, P.c. 795 Main Street Hackensack NJ 07601-8107 Ph: (201) 488-5161 |
| NPI Number | 1356497960 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/26/2013 |
| Medicare PECOS PAC ID | 0648239988 |
|---|---|
| Medicare Enrollment ID | O20041004000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356497960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Marina Tourkova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386790038 PECOS PAC ID: 2264400696 Enrollment ID: I20040922001060 |
| Provider Name | Anwar Y Ghali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093787145 PECOS PAC ID: 9739130816 Enrollment ID: I20050207000166 |
| Provider Name | Linda S Poskanzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942363312 PECOS PAC ID: 1759320187 Enrollment ID: I20050426000786 |
| Provider Name | Vadim Oyvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336114586 PECOS PAC ID: 3577506336 Enrollment ID: I20050603000021 |
| Provider Name | George W Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073531075 PECOS PAC ID: 3274579172 Enrollment ID: I20050630000661 |
| Provider Name | Dianne Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669689360 PECOS PAC ID: 0345277406 Enrollment ID: I20050720000404 |
| Provider Name | Yekaterina Chizhova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437203015 PECOS PAC ID: 7618991613 Enrollment ID: I20060117001116 |
| Provider Name | Nieves Cuervo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669657508 PECOS PAC ID: 2062590367 Enrollment ID: I20080428000472 |
| Provider Name | Elissa R. Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063741833 PECOS PAC ID: 7618019308 Enrollment ID: I20100119000181 |
| Provider Name | Irene Mazur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346405727 PECOS PAC ID: 2961688692 Enrollment ID: I20110513000683 |
| Provider Name | Drew K Losak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366712457 PECOS PAC ID: 1052578028 Enrollment ID: I20120202000149 |
| Provider Name | Yulia Braginsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821151903 PECOS PAC ID: 3971758277 Enrollment ID: I20130312000046 |
| Provider Name | Anna Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154423341 PECOS PAC ID: 2163524059 Enrollment ID: I20130322000006 |
| Provider Name | Azra Mansoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346359056 PECOS PAC ID: 5799913117 Enrollment ID: I20140110000757 |
| Provider Name | Anna Kravtsov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114243805 PECOS PAC ID: 1153546981 Enrollment ID: I20140710000753 |
| Provider Name | Jeanne E Palazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740627827 PECOS PAC ID: 2567772924 Enrollment ID: I20151116000148 |
| Provider Name | Mike Bellamy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952722365 PECOS PAC ID: 7113222902 Enrollment ID: I20160216000930 |
| Provider Name | Zhanna Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184071318 PECOS PAC ID: 2264727825 Enrollment ID: I20170811000157 |
| Provider Name | Margo Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194248443 PECOS PAC ID: 2668801796 Enrollment ID: I20200410001229 |
| Provider Name | Vera Solovieva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952479800 PECOS PAC ID: 1557438348 Enrollment ID: I20200519000398 |
| Provider Name | Alena Debrosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053561738 PECOS PAC ID: 3072403062 Enrollment ID: I20210916001176 |
| Provider Name | Diane R Bader-anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215294954 PECOS PAC ID: 4880903988 Enrollment ID: I20211119001898 |
| Provider Name | Irena Tsapelas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609464460 PECOS PAC ID: 3274946496 Enrollment ID: I20230309003052 |
| Provider Name | Mariya I Martynenko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215077227 PECOS PAC ID: 0749625689 Enrollment ID: I20240229004318 |
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