| Doppler Psychology Services Pc | |
|
1973 77th St Apt 2c East Elmhurst NY 11370-1045 | |
| (718) 450-1303 | |
| Not Available |
| Full Name | Doppler Psychology Services Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1973 77th St Apt 2c, East Elmhurst, New York |
| Authorized Official Name and Position | Irene Tsapelas (CEO) |
| Authorized Official Contact | 7184501303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doppler Psychology Services Pc 1973 77th St Apt 2c East Elmhurst NY 11370-1045 Ph: (718) 450-1303 | Doppler Psychology Services Pc 1973 77th St Apt 2c East Elmhurst NY 11370-1045 Ph: (718) 450-1303 |
| NPI Number | 1720773914 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 2466813001 |
|---|---|
| Medicare Enrollment ID | O20230926000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720773914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Marchese Tumminello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063444701 PECOS PAC ID: 7810933538 Enrollment ID: I20050706000164 |
| Provider Name | Virginia Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134337454 PECOS PAC ID: 0941347397 Enrollment ID: I20091016000533 |
| Provider Name | Judith Creecy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609000298 PECOS PAC ID: 0143379826 Enrollment ID: I20231002000327 |
| Provider Name | Ari Samuel Lakritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942947684 PECOS PAC ID: 1951785310 Enrollment ID: I20231016003594 |
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