| Good Health Psychiatric Services, Pc | |
|
26 Court St Suite 602 Brooklyn NY 11242-0103 | |
| (347) 410-2771 | |
| Not Available |
| Full Name | Good Health Psychiatric Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26 Court St, Brooklyn, New York |
| Authorized Official Name and Position | Vsevolod Rudoy (CEO) |
| Authorized Official Contact | 3474102771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Health Psychiatric Services, Pc Po Box 190936 Brooklyn NY 11219-0936 Ph: (347) 410-2771 | Good Health Psychiatric Services, Pc 26 Court St Suite 602 Brooklyn NY 11242-0103 Ph: (347) 410-2771 |
| NPI Number | 1215213806 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Medicare PECOS PAC ID | 2365789674 |
|---|---|
| Medicare Enrollment ID | O20190124001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215213806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 222147 (New York) | Primary |
| Provider Name | Constance Ann Grey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881717668 PECOS PAC ID: 4688636574 Enrollment ID: I20041103001072 |
| Provider Name | Vsevolod G Rudoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619920113 PECOS PAC ID: 1052327020 Enrollment ID: I20060228000572 |
| Provider Name | Yakov Semenov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750579777 PECOS PAC ID: 3274663133 Enrollment ID: I20100621000052 |
| Provider Name | Shilpika R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104196211 PECOS PAC ID: 9739323858 Enrollment ID: I20160224001530 |
| Provider Name | Janice Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831499854 PECOS PAC ID: 6002163789 Enrollment ID: I20180726001590 |
| Provider Name | John Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497156939 PECOS PAC ID: 6002159670 Enrollment ID: I20190522001940 |
| Provider Name | Mariya Shavulskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982257523 PECOS PAC ID: 1456683960 Enrollment ID: I20191104001108 |
| Provider Name | Christine L Chollak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619519717 PECOS PAC ID: 2365874781 Enrollment ID: I20191122001122 |
| Provider Name | Stacy Marie Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841698065 PECOS PAC ID: 3274948815 Enrollment ID: I20210818000829 |
| Provider Name | Shahruma Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942874771 PECOS PAC ID: 3577956366 Enrollment ID: I20220129000125 |
| Provider Name | Becca K Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760799852 PECOS PAC ID: 5496140014 Enrollment ID: I20220317002423 |
| Provider Name | Stacey Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245794387 PECOS PAC ID: 1456786912 Enrollment ID: I20220411000044 |
| Provider Name | Zhanna Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184071318 PECOS PAC ID: 2264727825 Enrollment ID: I20230208000730 |
| Provider Name | Kabiite Mukisa Okello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144818139 PECOS PAC ID: 2567875321 Enrollment ID: I20230705003030 |
| Provider Name | Olga Vizcaino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728809 PECOS PAC ID: 1951751510 Enrollment ID: I20240507000531 |
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