| Evolve Psychiatry | |
|
5550 Merrick Rd Ste 200 Massapequa NY 11758-6238 | |
| (631) 673-3233 | |
| (631) 673-1314 |
| Full Name | Evolve Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5550 Merrick Rd Ste 200, Massapequa, New York |
| Authorized Official Name and Position | Priyadarshan Bajpayi (OWNER) |
| Authorized Official Contact | 5168080765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psychiatry 5550 Merrick Rd Ste 200 Massapequa NY 11758-6238 Ph: (631) 673-3233 | Evolve Psychiatry 5550 Merrick Rd Ste 200 Massapequa NY 11758-6238 Ph: (631) 673-3233 |
| NPI Number | 1629534474 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 6608118179 |
|---|---|
| Medicare Enrollment ID | O20190502001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629534474 | NPI | - | NPPES |
| Provider Name | Priyadarshan Bajpayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699087148 PECOS PAC ID: 8527252782 Enrollment ID: I20101101001392 |
| Provider Name | Janet E Poretsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902142805 PECOS PAC ID: 0042536328 Enrollment ID: I20150304000366 |
| Provider Name | Siji Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730540642 PECOS PAC ID: 2163702218 Enrollment ID: I20161206001807 |
| Provider Name | Paul Ammendola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841585122 PECOS PAC ID: 5193002152 Enrollment ID: I20170501002124 |
| Provider Name | Tatyana Goykhberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326699679 PECOS PAC ID: 8921433897 Enrollment ID: I20200123000094 |
| Provider Name | Deborah Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093136228 PECOS PAC ID: 8426465808 Enrollment ID: I20210331002171 |
| Provider Name | Edward Balzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720763196 PECOS PAC ID: 6507201902 Enrollment ID: I20240226000780 |
| Provider Name | Kelly Antimisiaris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265213797 PECOS PAC ID: 9234577339 Enrollment ID: I20240409002840 |
| Provider Name | James O'shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124380308 PECOS PAC ID: 4284074360 Enrollment ID: I20240507000845 |
Daniel Raffaele Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 John St, Massapequa, NY 11758 Phone: 516-795-7561 | |
Applied Behavior Analysis Team Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Sunrise Hwy, Massapequa, NY 11758 Phone: 516-640-0798 Fax: 516-799-1045 | |
Chatandchange Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 N Broadway, Massapequa, NY 11758 Phone: 631-418-4117 | |
James D'aconti Lcsws, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 N Broadway Ste C1, Massapequa, NY 11758 Phone: 631-606-6068 | |
Autism Behavior Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Riviera Dr W, Massapequa, NY 11758 Phone: 631-954-2657 Fax: 866-667-2657 | |
Maria Corso, Lcsw, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Veterans Blvd, Massapequa, NY 11758 Phone: 516-965-3454 | |
Risewell Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Beach St, Massapequa, NY 11758 Phone: 516-798-5349 Fax: 576-799-6912 |