| Community Consultation Center | |
|
40 Montgomery St New York NY 10002-4808 | |
| (212) 233-5032 | |
| Not Available |
| Full Name | Community Consultation Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Montgomery St, New York, New York |
| Authorized Official Name and Position | Josephine Lume (CFO) |
| Authorized Official Contact | 2127669200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Consultation Center 40 Montgomery St New York NY 10002-4808 Ph: (212) 233-5032 | Community Consultation Center 40 Montgomery St New York NY 10002-4808 Ph: (212) 233-5032 |
| NPI Number | 1629172036 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 10/21/2014 |
| Medicare PECOS PAC ID | 2567354756 |
|---|---|
| Medicare Enrollment ID | O20080201000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629172036 | NPI | - | NPPES |
| 02843112 | Medicaid | NY | |
| W01951 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6700100A (New York) | Primary |
| Provider Name | Cynthia Ireland-richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437297371 PECOS PAC ID: 5294797312 Enrollment ID: I20050725000877 |
| Provider Name | William Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508958554 PECOS PAC ID: 9133218563 Enrollment ID: I20071207000467 |
| Provider Name | Kristin Hertel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538250105 PECOS PAC ID: 5890877518 Enrollment ID: I20080201000451 |
| Provider Name | Jacqueline Otero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770716128 PECOS PAC ID: 4789721010 Enrollment ID: I20091020000026 |
| Provider Name | Joann S Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861418998 PECOS PAC ID: 4981609955 Enrollment ID: I20150413001066 |
| Provider Name | Daniel Paul Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205174471 PECOS PAC ID: 5597061747 Enrollment ID: I20160314002567 |
| Provider Name | Caroline Astacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386884088 PECOS PAC ID: 3072812346 Enrollment ID: I20160509001767 |
| Provider Name | Evangelina Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245576248 PECOS PAC ID: 1850533878 Enrollment ID: I20180328002174 |
| Provider Name | Rebecca Faye Gerstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518496009 PECOS PAC ID: 8224383120 Enrollment ID: I20180618002148 |
| Provider Name | Samantha Beauchesne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992282776 PECOS PAC ID: 3274885074 Enrollment ID: I20181005000753 |
| Provider Name | Sarah B Cady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427612795 PECOS PAC ID: 5193157907 Enrollment ID: I20191118000228 |
| Provider Name | Lei Xu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205324902 PECOS PAC ID: 1153750781 Enrollment ID: I20200402003046 |
| Provider Name | Yunshan Gao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518400712 PECOS PAC ID: 0941624324 Enrollment ID: I20200717001357 |
| Provider Name | Kimberly Vanessa Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487156006 PECOS PAC ID: 9032519244 Enrollment ID: I20210609002905 |
| Provider Name | Beverly Jocelyn-patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619694890 PECOS PAC ID: 4789054313 Enrollment ID: I20221223000190 |
| Provider Name | Whitney Leigh Coulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780135871 PECOS PAC ID: 4789041401 Enrollment ID: I20230612000100 |
| Provider Name | Meriem Mahdi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073214904 PECOS PAC ID: 2163886771 Enrollment ID: I20230915001047 |
| Provider Name | Eileen Patricia Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548041759 PECOS PAC ID: 2365886652 Enrollment ID: I20240214002365 |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
Mary E Genkins Dsw Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E 63rd St, Apt 12l, New York, NY 10065 Phone: 212-838-9257 Fax: 212-207-6615 | |
Rethink Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 21st Street, Suite 403, New York, NY 10010 Phone: 917-658-6313 | |
The Heart Collaboration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 5th Ave, Suite 900, New York, NY 10011 Phone: 212-947-7111 |