| Dr J Stern Psychological Services Pc | |
|
6007 19th Ave Brooklyn NY 11204-2337 | |
| (718) 234-2506 | |
| Not Available |
| Full Name | Dr J Stern Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 6007 19th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Judah Stern (OWNER) |
| Authorized Official Contact | 3474391145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Stern Psychological Services Pc 6007 19th Ave Brooklyn NY 11204-2337 Ph: () - | Dr J Stern Psychological Services Pc 6007 19th Ave Brooklyn NY 11204-2337 Ph: (718) 234-2506 |
| NPI Number | 1164987244 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 3274906953 |
|---|---|
| Medicare Enrollment ID | O20230228000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164987244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Faina Solominskaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063513935 PECOS PAC ID: 4183649452 Enrollment ID: I20051006000421 |
| Provider Name | Elizabeth Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659300648 PECOS PAC ID: 8729093539 Enrollment ID: I20060215000741 |
| Provider Name | Zeva Adler Citronenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497995468 PECOS PAC ID: 7416006747 Enrollment ID: I20090518000017 |
| Provider Name | Dina Waxman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871898973 PECOS PAC ID: 0547583296 Enrollment ID: I20150105000129 |
| Provider Name | Eli Rosenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871801712 PECOS PAC ID: 3173849106 Enrollment ID: I20150310000190 |
| Provider Name | Judah Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649525304 PECOS PAC ID: 4183097868 Enrollment ID: I20230228000471 |
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