| Hamilton-madison House, Inc. | |
|
253 South St New York NY 10002-7827 | |
| (212) 720-4524 | |
| (212) 732-9297 |
| Full Name | Hamilton-madison House, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 253 South St, New York, New York |
| Authorized Official Name and Position | Miriam Rodriguez (BILLING MANAGER) |
| Authorized Official Contact | 6467401055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton-madison House, Inc. 253 South St New York NY 10002-7827 Ph: (212) 720-4524 | Hamilton-madison House, Inc. 253 South St New York NY 10002-7827 Ph: (212) 720-4524 |
| NPI Number | 1588610604 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 7113819301 |
|---|---|
| Medicare Enrollment ID | O20040324001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588610604 | NPI | - | NPPES |
| 00245143 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | P6178100 (New York) | Primary |
| Provider Name | Suzie Csw Wong-lo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184701138 PECOS PAC ID: 2163417650 Enrollment ID: I20040415000338 |
| Provider Name | Daniel C Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285710038 PECOS PAC ID: 6800878646 Enrollment ID: I20040604000131 |
| Provider Name | Fumi Matsuki Raith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215967195 PECOS PAC ID: 7315103876 Enrollment ID: I20120727000270 |
| Provider Name | Janie Groff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639125917 PECOS PAC ID: 2466609821 Enrollment ID: I20120821000224 |
| Provider Name | Hyun Jung Shim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588740203 PECOS PAC ID: 1557518586 Enrollment ID: I20120828000056 |
| Provider Name | Huong So Trinh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932285749 PECOS PAC ID: 4385892637 Enrollment ID: I20120912000346 |
| Provider Name | Jie Jin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083051304 PECOS PAC ID: 4880828425 Enrollment ID: I20131014001414 |
| Provider Name | Pei - Wen Ma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134379118 PECOS PAC ID: 1355566688 Enrollment ID: I20140630002044 |
| Provider Name | Craig S Kordick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417282005 PECOS PAC ID: 3870884141 Enrollment ID: I20160616000181 |
| Provider Name | Yu-kang Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801254180 PECOS PAC ID: 2567755770 Enrollment ID: I20160726001944 |
| Provider Name | Yihou Zhou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962881847 PECOS PAC ID: 0941545800 Enrollment ID: I20190717002019 |
| Provider Name | Kumiko Takeshima Asiedu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174991822 PECOS PAC ID: 6800122714 Enrollment ID: I20190731000876 |
| Provider Name | Carmen Leung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194257147 PECOS PAC ID: 9739433244 Enrollment ID: I20200306001774 |
| Provider Name | Luhan Daphne Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750776795 PECOS PAC ID: 2668890450 Enrollment ID: I20230125001318 |
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 |