| Inwood Community Services, Inc. | |
|
651 Academy St New York NY 10034-5003 | |
| (212) 942-0043 | |
| (212) 567-9476 |
| Full Name | Inwood Community Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 651 Academy St, New York, New York |
| Authorized Official Name and Position | Charles Corliss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2129420043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inwood Community Services, Inc. 651 Academy St New York NY 10034-5003 Ph: (212) 942-0043 | Inwood Community Services, Inc. 651 Academy St New York NY 10034-5003 Ph: (212) 942-0043 |
| NPI Number | 1083771232 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 1850608100 |
|---|---|
| Medicare Enrollment ID | O20150918000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083771232 | NPI | - | NPPES |
| 01060402 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7876100A (New York) | Primary |
| 251S00000X | Community/behavioral Health | 070510836 (New York) | Secondary |
| Provider Name | Charles Corliss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396801346 PECOS PAC ID: 4981696986 Enrollment ID: I20040331000717 |
| Provider Name | Carlos Jusino-berrios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790707859 PECOS PAC ID: 4789622481 Enrollment ID: I20050422000438 |
| Provider Name | Esperanza Belliard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275678278 PECOS PAC ID: 4183753254 Enrollment ID: I20100527000676 |
| Provider Name | Richard Bautista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235253493 PECOS PAC ID: 8921122128 Enrollment ID: I20100825000100 |
| Provider Name | Yvanka L Pachas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376694885 PECOS PAC ID: 8921284787 Enrollment ID: I20110512000732 |
| Provider Name | Nicolas Du Mont |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881694420 PECOS PAC ID: 3779759709 Enrollment ID: I20111222000141 |
| Provider Name | Eric G Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578735528 PECOS PAC ID: 1557510948 Enrollment ID: I20120928000128 |
| Provider Name | Julio Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275551335 PECOS PAC ID: 6709181753 Enrollment ID: I20160229002264 |
| Provider Name | Vilma Martinez Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912094582 PECOS PAC ID: 3072810084 Enrollment ID: I20160318000522 |
| Provider Name | Mary Taveras-garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588788640 PECOS PAC ID: 2163732025 Enrollment ID: I20161221001590 |
| Provider Name | Holly Gould |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619312709 PECOS PAC ID: 5890078059 Enrollment ID: I20170214000063 |
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 |