| Innovative Medical Practice Of New York Pc | |
|
1 California St Ste 2300 San Francisco CA 94111-5424 | |
| (800) 997-6196 | |
| (833) 523-9924 |
| Full Name | Innovative Medical Practice Of New York Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 California St Ste 2300, San Francisco, California |
| Authorized Official Name and Position | Todd A Thames (PRESIDENT) |
| Authorized Official Contact | 8009976196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Practice Of New York Pc 1 California St Ste 2300 San Francisco CA 94111-5424 Ph: (800) 997-6196 | Innovative Medical Practice Of New York Pc 1 California St Ste 2300 San Francisco CA 94111-5424 Ph: (800) 997-6196 |
| NPI Number | 1861800146 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 5092088237 |
|---|---|
| Medicare Enrollment ID | O20200501000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861800146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robin Langmaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316081854 PECOS PAC ID: 9739138942 Enrollment ID: I20050114000219 |
| Provider Name | Andrew Zaager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770519977 PECOS PAC ID: 3678590882 Enrollment ID: I20051027000417 |
| Provider Name | Paul J Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710012224 PECOS PAC ID: 5597866640 Enrollment ID: I20070719000624 |
| Provider Name | Mikhail Yakubov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861662496 PECOS PAC ID: 1557424660 Enrollment ID: I20090116000002 |
| Provider Name | Gregory S Steencken |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679735955 PECOS PAC ID: 3173683554 Enrollment ID: I20090529000017 |
| Provider Name | Maria Scalley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023341526 PECOS PAC ID: 8921147372 Enrollment ID: I20091125000215 |
| Provider Name | Stephen Larson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649230160 PECOS PAC ID: 9830239300 Enrollment ID: I20101117000146 |
| Provider Name | Eugena K Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639345812 PECOS PAC ID: 2365626538 Enrollment ID: I20110412001055 |
| Provider Name | Jillian C Mittiga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386898211 PECOS PAC ID: 6800046848 Enrollment ID: I20121027000000 |
| Provider Name | Laura Damico |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699019109 PECOS PAC ID: 3173767175 Enrollment ID: I20130912000576 |
| Provider Name | Jamie S Bodenlos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316369416 PECOS PAC ID: 2567782147 Enrollment ID: I20150521001626 |
| Provider Name | Heather Trobert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245651108 PECOS PAC ID: 8325334139 Enrollment ID: I20160902001566 |
| Provider Name | Katherine E Rowan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205178969 PECOS PAC ID: 4284912122 Enrollment ID: I20161028000534 |
| Provider Name | Lilliam Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821375213 PECOS PAC ID: 3678836640 Enrollment ID: I20180405000328 |
| Provider Name | Ron Witonsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457752982 PECOS PAC ID: 1254684186 Enrollment ID: I20181023002793 |
| Provider Name | Stephanie Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578980538 PECOS PAC ID: 7416295670 Enrollment ID: I20190213001291 |
| Provider Name | An Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407239247 PECOS PAC ID: 7618207663 Enrollment ID: I20191217002352 |
| Provider Name | Riyad Rouf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598143323 PECOS PAC ID: 1759671159 Enrollment ID: I20200122000369 |
| Provider Name | Michele S Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669700282 PECOS PAC ID: 0143658674 Enrollment ID: I20200317000940 |
| Provider Name | Tatyana Zigadlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356349187 PECOS PAC ID: 5092776468 Enrollment ID: I20200501000453 |
| Provider Name | Francis Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578581898 PECOS PAC ID: 3678519444 Enrollment ID: I20200512003367 |
| Provider Name | Joni S Cazeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750539607 PECOS PAC ID: 3476735523 Enrollment ID: I20200513002937 |
| Provider Name | Elisabeth K Farnum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619991064 PECOS PAC ID: 3870773054 Enrollment ID: I20200513003034 |
| Provider Name | Kim Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851383889 PECOS PAC ID: 7012335193 Enrollment ID: I20200922002747 |
| Provider Name | Terri A Betts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730392812 PECOS PAC ID: 9436104528 Enrollment ID: I20210107002713 |
| Provider Name | Randi Cavuoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053713461 PECOS PAC ID: 4486067519 Enrollment ID: I20210111002223 |
| Provider Name | Amanda Student |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245796580 PECOS PAC ID: 9234566977 Enrollment ID: I20210115001663 |
| Provider Name | Robin Macfarlane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942821673 PECOS PAC ID: 9739594532 Enrollment ID: I20210208002665 |
| Provider Name | Wendy J Alfaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467087353 PECOS PAC ID: 7113327537 Enrollment ID: I20210607001727 |
| Provider Name | Linda Scognamillo-senior |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063505758 PECOS PAC ID: 4880096411 Enrollment ID: I20210706001200 |
| Provider Name | Victoria E Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902038250 PECOS PAC ID: 4587816863 Enrollment ID: I20220112002569 |
| Provider Name | Brenda Cay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053500132 PECOS PAC ID: 6305238783 Enrollment ID: I20220114000952 |
Foster Care Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Suite 400, San Francisco, CA 94124 Phone: 415-907-3875 Fax: 415-970-3875 | |
Crisis Response Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Building B, Suite 400, San Francisco, CA 94124 Phone: 415-970-3800 Fax: 415-970-3855 | |
Asian American Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Golden Gate Ave, San Francisco, CA 94102 Phone: 415-776-1001 Fax: 415-776-1066 | |
A Woman's Place Drop-in Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 13th St, San Francisco, CA 94103 Phone: 415-420-1420 | |
Piatigorsky Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 Sanchez St, San Francisco, CA 94114 Phone: 415-713-0807 | |
Contra Costa County Behavioral Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Allston Way, San Francisco, CA 94127 Phone: 415-866-5231 | |
Medens Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 California St Ste 1500, San Francisco, CA 94111 Phone: 415-854-5400 Fax: 844-654-2900 |