| Jgb Mental Health & Mental Retardation Services Inc | |
|
250 West 64 Street New York NY 10023-6601 | |
| (212) 769-6257 | |
| (212) 769-7869 |
| Full Name | Jgb Mental Health & Mental Retardation Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 250 West 64 Street, New York, New York |
| Authorized Official Name and Position | Nicole Hart (GENERAL COUNSEL) |
| Authorized Official Contact | 2127696212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jgb Mental Health & Mental Retardation Services Inc 250 West 64 Street New York NY 10023-6601 Ph: (212) 769-6257 | Jgb Mental Health & Mental Retardation Services Inc 250 West 64 Street New York NY 10023-6601 Ph: (212) 769-6257 |
| NPI Number | 1255345245 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 1850349838 |
|---|---|
| Medicare Enrollment ID | O20050106000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255345245 | NPI | - | NPPES |
| 00244495 | Medicaid | NY | |
| 01165131 | Medicaid | NY | |
| 02001807 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6711130 (New York) | Primary |
| Provider Name | Laura J Newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336102656 PECOS PAC ID: 3274500426 Enrollment ID: I20040916000002 |
| Provider Name | Adrienne Wexler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508958042 PECOS PAC ID: 5092763011 Enrollment ID: I20050106000561 |
| Provider Name | Stephen Reinhard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881786325 PECOS PAC ID: 6103874136 Enrollment ID: I20050106000625 |
| Provider Name | Edward S Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396707899 PECOS PAC ID: 4486658374 Enrollment ID: I20060907000318 |
| Provider Name | Jill Marian Zisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972712339 PECOS PAC ID: 6608969274 Enrollment ID: I20070912000782 |
| Provider Name | Cesar Alberto Alfonso Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992855621 PECOS PAC ID: 7719059559 Enrollment ID: I20080710000468 |
| Provider Name | Robert D Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003002726 PECOS PAC ID: 4183778368 Enrollment ID: I20091013000379 |
| Provider Name | Susan H Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407071285 PECOS PAC ID: 8426195488 Enrollment ID: I20091023000000 |
| Provider Name | Yvonne P Waldemar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992782866 PECOS PAC ID: 9830236595 Enrollment ID: I20091028000749 |
| Provider Name | Peter M Bookstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699854091 PECOS PAC ID: 7113190711 Enrollment ID: I20111026000764 |
| Provider Name | Geneciobel Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952731028 PECOS PAC ID: 8921225103 Enrollment ID: I20140812001131 |
| Provider Name | Melissa E Chattman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417407180 PECOS PAC ID: 2264716224 Enrollment ID: I20170313000307 |
| Provider Name | Aynur Tokat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720595523 PECOS PAC ID: 4587925524 Enrollment ID: I20180307002572 |
| Provider Name | Lisa B Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871642595 PECOS PAC ID: 6204249212 Enrollment ID: I20210113000223 |
| Provider Name | Dianne E Timmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912419102 PECOS PAC ID: 8921417676 Enrollment ID: I20210510000613 |
| Provider Name | Kyle D. Mabb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043988124 PECOS PAC ID: 5991152290 Enrollment ID: I20231108001022 |
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 | |
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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 | |
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