| Dept. Of Psychiatry | |
|
525 East 68th Sreet Box 171 Rm F-1228 Dept. Of Pyschiatry New York NY 10065-4870 | |
| (212) 746-0235 | |
| (212) 746-3687 |
| Full Name | Dept. Of Psychiatry |
|---|---|
| Speciality | Psychologist |
| Location | 525 East 68th Sreet, New York, New York |
| Authorized Official Name and Position | Zemfira Egelbaum (ACCOUNT SUPERVISOR) |
| Authorized Official Contact | 2127460235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept. Of Psychiatry 525 East 68th Sreet Box 171 Rm F-1228 Dept. Of Pyschiatry New York NY 10065-4870 Ph: (212) 746-0235 | Dept. Of Psychiatry 525 East 68th Sreet Box 171 Rm F-1228 Dept. Of Pyschiatry New York NY 10065-4870 Ph: (212) 746-0235 |
| NPI Number | 1871692210 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 10/25/2017 |
| Medicare PECOS PAC ID | 6800709023 |
|---|---|
| Medicare Enrollment ID | O20040712000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871692210 | NPI | - | NPPES |
| 02204644 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Francis S Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306909122 PECOS PAC ID: 8426043621 Enrollment ID: I20040417000006 |
| Provider Name | Robert Clark Abrams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730117342 PECOS PAC ID: 1658360847 Enrollment ID: I20040511001834 |
| Provider Name | Darlene Mitera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689720096 PECOS PAC ID: 8426021064 Enrollment ID: I20040812001581 |
| Provider Name | Joseph F Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003960014 PECOS PAC ID: 9032135967 Enrollment ID: I20051020000430 |
| Provider Name | Judith R Cukor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366509630 PECOS PAC ID: 8527087584 Enrollment ID: I20051118000316 |
| Provider Name | Marcos Fe Bornstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174632822 PECOS PAC ID: 0143226118 Enrollment ID: I20061014000000 |
| Provider Name | Dennis M Popeo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700811940 PECOS PAC ID: 0749387900 Enrollment ID: I20070523000004 |
| Provider Name | Diana Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225172075 PECOS PAC ID: 2668572033 Enrollment ID: I20070713000614 |
| Provider Name | Jason J Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467511659 PECOS PAC ID: 8820186893 Enrollment ID: I20071109000118 |
| Provider Name | Jessica E Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134271133 PECOS PAC ID: 8628149986 Enrollment ID: I20080616000116 |
| Provider Name | Susan Samuels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508067729 PECOS PAC ID: 1951474709 Enrollment ID: I20080728000018 |
| Provider Name | Mary Denise Cancellare |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063578037 PECOS PAC ID: 3375611049 Enrollment ID: I20081008000057 |
| Provider Name | John W Barnhill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699813600 PECOS PAC ID: 4183792799 Enrollment ID: I20081009000549 |
| Provider Name | P Anne Mcbride |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376630442 PECOS PAC ID: 0345398749 Enrollment ID: I20090423000005 |
| Provider Name | Michael F Walton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114192028 PECOS PAC ID: 6901956234 Enrollment ID: I20090609000180 |
| Provider Name | Marc J Dubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114110855 PECOS PAC ID: 2365526589 Enrollment ID: I20100719000000 |
| Provider Name | Susan Matorin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992843080 PECOS PAC ID: 3779769484 Enrollment ID: I20110513000559 |
| Provider Name | Benjamin Brody |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013178318 PECOS PAC ID: 8820275373 Enrollment ID: I20110609000119 |
| Provider Name | Margaret E Hertzig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245312370 PECOS PAC ID: 3577740869 Enrollment ID: I20110614000788 |
| Provider Name | Janna S Gordon Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730346768 PECOS PAC ID: 9133307192 Enrollment ID: I20110623000002 |
| Provider Name | Joachim A Benitez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114990330 PECOS PAC ID: 0648291344 Enrollment ID: I20111214000616 |
| Provider Name | Kenneth Hung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417115726 PECOS PAC ID: 4688837255 Enrollment ID: I20120517000371 |
| Provider Name | Lakshmi Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689810541 PECOS PAC ID: 2163686593 Enrollment ID: I20120614000173 |
| Provider Name | Jacob R Messing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497089668 PECOS PAC ID: 1951565381 Enrollment ID: I20120614000198 |
| Provider Name | Alison Hermann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700048527 PECOS PAC ID: 7911133756 Enrollment ID: I20131126000925 |
| Provider Name | Richard A Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891717252 PECOS PAC ID: 3971732645 Enrollment ID: I20140130000151 |
| Provider Name | Anna L Dickerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841432499 PECOS PAC ID: 2567687692 Enrollment ID: I20140707000012 |
| Provider Name | Jonathan D Avery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437391612 PECOS PAC ID: 6709001548 Enrollment ID: I20140710001271 |
| Provider Name | Annie Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396902268 PECOS PAC ID: 3274704895 Enrollment ID: I20141201000071 |
| Provider Name | Joseph I Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255586830 PECOS PAC ID: 8224355045 Enrollment ID: I20150316001303 |
| Provider Name | Annaheta Salajegheh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659696565 PECOS PAC ID: 5698086437 Enrollment ID: I20150619000513 |
| Provider Name | Christina R Shayevitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982979217 PECOS PAC ID: 2365745908 Enrollment ID: I20160114002170 |
| Provider Name | Daniel Knoepflmacher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942566682 PECOS PAC ID: 5092012112 Enrollment ID: I20160404001856 |
| Provider Name | Samantha Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609277268 PECOS PAC ID: 7517258361 Enrollment ID: I20160624001601 |
| Provider Name | Katherine R Goettsche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780974725 PECOS PAC ID: 0244523876 Enrollment ID: I20160720000753 |
| Provider Name | Liliya Gershengoren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184914939 PECOS PAC ID: 7416240064 Enrollment ID: I20160720001130 |
| Provider Name | Marina Rozovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922437557 PECOS PAC ID: 7416224548 Enrollment ID: I20170522000989 |
| Provider Name | Andrew M Edelstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295093961 PECOS PAC ID: 7214186980 Enrollment ID: I20170920003730 |
| Provider Name | Erin Chung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952637233 PECOS PAC ID: 6507132594 Enrollment ID: I20171018002554 |
| Provider Name | Tessa Claire Hyo Goodman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770999278 PECOS PAC ID: 5193084911 Enrollment ID: I20180123003349 |
| Provider Name | Bethanie Berson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366894321 PECOS PAC ID: 6204199425 Enrollment ID: I20180420001057 |
| Provider Name | Guy Maytal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215918156 PECOS PAC ID: 5799739702 Enrollment ID: I20180510000346 |
| Provider Name | Abhishek Jaywant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306349493 PECOS PAC ID: 3870848302 Enrollment ID: I20180625000299 |
| Provider Name | Omar Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952758609 PECOS PAC ID: 6002100708 Enrollment ID: I20180702001473 |
| Provider Name | Megan D Marzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396019048 PECOS PAC ID: 7618229865 Enrollment ID: I20181016003002 |
| Provider Name | Morgan L Pacheco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704577 PECOS PAC ID: 1052663200 Enrollment ID: I20181016003077 |
| Provider Name | Susan Karabell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053758292 PECOS PAC ID: 6608110416 Enrollment ID: I20181205002704 |
| Provider Name | Lindsey Sankin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306215181 PECOS PAC ID: 4284969601 Enrollment ID: I20190708001988 |
| Provider Name | Samuel J Boas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417338112 PECOS PAC ID: 3678880713 Enrollment ID: I20191002000788 |
| Provider Name | Virginia K.a Mutch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679915169 PECOS PAC ID: 7911238134 Enrollment ID: I20191018001103 |
| Provider Name | David G Hankins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942663075 PECOS PAC ID: 7113265380 Enrollment ID: I20191029000139 |
| Provider Name | Stephen M Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992104459 PECOS PAC ID: 7113224718 Enrollment ID: I20200225002689 |
| Provider Name | Vasiliki Payiati- Kondos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124474887 PECOS PAC ID: 1850720343 Enrollment ID: I20200403002481 |
| Provider Name | Soudabeh Givrad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841426343 PECOS PAC ID: 2961798012 Enrollment ID: I20200416001433 |
| Provider Name | Yunshan Gao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518400712 PECOS PAC ID: 0941624324 Enrollment ID: I20200717001357 |
| Provider Name | Naomi Ruth Raih |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851685325 PECOS PAC ID: 1052735149 Enrollment ID: I20200722001914 |
| Provider Name | Christian P Umfrid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063807071 PECOS PAC ID: 7810235017 Enrollment ID: I20201008000871 |
| Provider Name | Jessica Glassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356885438 PECOS PAC ID: 5597185116 Enrollment ID: I20201021001117 |
| Provider Name | Heather M Kawalick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326570847 PECOS PAC ID: 3072851278 Enrollment ID: I20210105001432 |
| Provider Name | Jena L Andreu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881049641 PECOS PAC ID: 5991049769 Enrollment ID: I20210720002683 |
| Provider Name | Monika A Dargis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326663493 PECOS PAC ID: 3779988159 Enrollment ID: I20211021001477 |
| Provider Name | Lauren E Oberlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366065773 PECOS PAC ID: 2466840244 Enrollment ID: I20211027002522 |
| Provider Name | Ji Hoon Ha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609224260 PECOS PAC ID: 4183961147 Enrollment ID: I20211118002118 |
| Provider Name | Karanbir S Padda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124524749 PECOS PAC ID: 0547508715 Enrollment ID: I20211216002272 |
| Provider Name | Yochai Re'em |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407352271 PECOS PAC ID: 9830437920 Enrollment ID: I20220117000008 |
| Provider Name | Mark A Wiener |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912432618 PECOS PAC ID: 0547507949 Enrollment ID: I20220527000889 |
| Provider Name | Mashal K Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205242898 PECOS PAC ID: 6608112941 Enrollment ID: I20221205001716 |
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 | |
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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 |