| Talkiatry | |
|
109 W 27th St # 5s New York NY 10001-6208 | |
| (917) 634-5311 | |
| Not Available |
| Full Name | Talkiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 109 W 27th St # 5s, New York, New York |
| Authorized Official Name and Position | Georgia Gaveras (OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9173097915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talkiatry 15 Hudson Yards # 28d New York NY 10001-2178 Ph: (732) 995-7172 | Talkiatry 109 W 27th St # 5s New York NY 10001-6208 Ph: (917) 634-5311 |
| NPI Number | 1033750823 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4082049036 |
|---|---|
| Medicare Enrollment ID | O20200121001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033750823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ian S Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881605863 PECOS PAC ID: 4385540673 Enrollment ID: I20031209000149 |
| Provider Name | Ellen L Mausner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740293745 PECOS PAC ID: 6305831520 Enrollment ID: I20040417000116 |
| Provider Name | Richard Rise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114969375 PECOS PAC ID: 5991795833 Enrollment ID: I20040513001054 |
| Provider Name | Douglas James Whikehart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386706372 PECOS PAC ID: 5092796185 Enrollment ID: I20040525001461 |
| Provider Name | Imran Faisal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730124512 PECOS PAC ID: 0446235840 Enrollment ID: I20040621000920 |
| Provider Name | Ann Landowne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033266481 PECOS PAC ID: 6204815152 Enrollment ID: I20040715000446 |
| Provider Name | Stephen Geisler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891859914 PECOS PAC ID: 5890765226 Enrollment ID: I20040730001060 |
| Provider Name | Gloria Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245279447 PECOS PAC ID: 3274504097 Enrollment ID: I20040804001540 |
| Provider Name | Ilisse Perlmutter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053491829 PECOS PAC ID: 4880656107 Enrollment ID: I20041029000373 |
| Provider Name | Juliet A Nicolescu-nichols |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225182975 PECOS PAC ID: 4789634106 Enrollment ID: I20050124000956 |
| Provider Name | Daniel Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639249741 PECOS PAC ID: 9133162241 Enrollment ID: I20050608001027 |
| Provider Name | Allan Flaggman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518908318 PECOS PAC ID: 0840234852 Enrollment ID: I20050610000449 |
| Provider Name | Nina S Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033277462 PECOS PAC ID: 0749216802 Enrollment ID: I20050711000702 |
| Provider Name | Shelley Sellinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740371715 PECOS PAC ID: 6406883628 Enrollment ID: I20050720000127 |
| Provider Name | Carolyn Benson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851490544 PECOS PAC ID: 3274540661 Enrollment ID: I20060309000283 |
| Provider Name | Victor A Balta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350029 PECOS PAC ID: 1850385667 Enrollment ID: I20060711000117 |
| Provider Name | Megan C Wynne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184650137 PECOS PAC ID: 0042303968 Enrollment ID: I20070910000365 |
| Provider Name | Sallie J Hadley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407978786 PECOS PAC ID: 5991890824 Enrollment ID: I20071005000777 |
| Provider Name | Stephanie J Powers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477758480 PECOS PAC ID: 7012097959 Enrollment ID: I20080104000566 |
| Provider Name | Zelimir Vukasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861542540 PECOS PAC ID: 0446335939 Enrollment ID: I20080307000344 |
| Provider Name | Zeynep Altun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154440758 PECOS PAC ID: 9638255664 Enrollment ID: I20080331000348 |
| Provider Name | Lauren Devins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780851246 PECOS PAC ID: 7315007184 Enrollment ID: I20081124000563 |
| Provider Name | Niru Nahar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316182074 PECOS PAC ID: 5799841102 Enrollment ID: I20090311000076 |
| Provider Name | Richard Hess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841384716 PECOS PAC ID: 2365509320 Enrollment ID: I20090319000344 |
| Provider Name | Georgia Gaveras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801951090 PECOS PAC ID: 3375699838 Enrollment ID: I20090924000356 |
| Provider Name | Robert W Whelpley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861404873 PECOS PAC ID: 3476692070 Enrollment ID: I20091119000653 |
| Provider Name | Michael Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568426732 PECOS PAC ID: 2062540842 Enrollment ID: I20100515000013 |
| Provider Name | Yakov Semenov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750579777 PECOS PAC ID: 3274663133 Enrollment ID: I20100621000052 |
| Provider Name | Adeeb Yacoub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013938828 PECOS PAC ID: 9032302500 Enrollment ID: I20101018000631 |
| Provider Name | John J Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942429634 PECOS PAC ID: 6507045101 Enrollment ID: I20110128000337 |
| Provider Name | Michele L Wiener |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912928524 PECOS PAC ID: 3678752185 Enrollment ID: I20110128000603 |
| Provider Name | Christine Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417064908 PECOS PAC ID: 2769662063 Enrollment ID: I20110203000411 |
| Provider Name | Deep Lohia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972820314 PECOS PAC ID: 8426231275 Enrollment ID: I20110331000757 |
| Provider Name | Anne E Rohs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205136280 PECOS PAC ID: 1153599279 Enrollment ID: I20110715000477 |
| Provider Name | Maria Anne Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316165343 PECOS PAC ID: 0244409316 Enrollment ID: I20110805000268 |
| Provider Name | Avreliya Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003051178 PECOS PAC ID: 8224201991 Enrollment ID: I20111026000233 |
| Provider Name | Ana Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417072257 PECOS PAC ID: 7618140898 Enrollment ID: I20111103000493 |
| Provider Name | Adele Veksman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578709572 PECOS PAC ID: 8628243789 Enrollment ID: I20111219000808 |
| Provider Name | Jacqueline A Berenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558529669 PECOS PAC ID: 5890950042 Enrollment ID: I20120713000227 |
| Provider Name | Peng Pang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174703359 PECOS PAC ID: 8426214057 Enrollment ID: I20120725000557 |
| Provider Name | Nicole A Tremblay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629233879 PECOS PAC ID: 0941457113 Enrollment ID: I20120822000528 |
| Provider Name | Sophia Monsour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023252244 PECOS PAC ID: 5395987598 Enrollment ID: I20130819000593 |
| Provider Name | Lorenzo Santos Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134423320 PECOS PAC ID: 5496989477 Enrollment ID: I20131004000565 |
| Provider Name | Alicia Garcete Guaps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588816466 PECOS PAC ID: 0143454678 Enrollment ID: I20131016000350 |
| Provider Name | Mayra Cabrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134380116 PECOS PAC ID: 8527293364 Enrollment ID: I20131101000315 |
| Provider Name | Jabari T Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922230457 PECOS PAC ID: 8022281955 Enrollment ID: I20131105001843 |
| Provider Name | Ernesto Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174765556 PECOS PAC ID: 1456595966 Enrollment ID: I20140620000075 |
| Provider Name | Johanna Bos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215339346 PECOS PAC ID: 6709108392 Enrollment ID: I20141210001598 |
| Provider Name | Carline Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841480852 PECOS PAC ID: 9133448699 Enrollment ID: I20150505000779 |
| Provider Name | Yanina Brayman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770774374 PECOS PAC ID: 4082927991 Enrollment ID: I20150722003438 |
| Provider Name | Jenny Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619384930 PECOS PAC ID: 8325358849 Enrollment ID: I20151112000350 |
| Provider Name | Jonathan A Hertz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881747152 PECOS PAC ID: 8820014160 Enrollment ID: I20151116001626 |
| Provider Name | Julia A Wellin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346379153 PECOS PAC ID: 6901100718 Enrollment ID: I20160215000926 |
| Provider Name | Katherine Taveras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053600304 PECOS PAC ID: 8224333836 Enrollment ID: I20160219000305 |
| Provider Name | Jane Eisen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477567139 PECOS PAC ID: 8224296181 Enrollment ID: I20160308000598 |
| Provider Name | Michael Fiori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285648857 PECOS PAC ID: 3274576715 Enrollment ID: I20160310000474 |
| Provider Name | Rebecca Kostopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154746725 PECOS PAC ID: 3375832678 Enrollment ID: I20160510000406 |
| Provider Name | Ryan H Hashem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750602629 PECOS PAC ID: 4284920836 Enrollment ID: I20160907002003 |
| Provider Name | Carla Denham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306807813 PECOS PAC ID: 7911949755 Enrollment ID: I20161003000428 |
| Provider Name | Emily A Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134486830 PECOS PAC ID: 0648550608 Enrollment ID: I20161208000699 |
| Provider Name | Ludmilar Mesidor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083907612 PECOS PAC ID: 4486871878 Enrollment ID: I20170110002666 |
| Provider Name | Navjot Khinda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932454998 PECOS PAC ID: 5294011052 Enrollment ID: I20170410000828 |
| Provider Name | Walter Piddoubny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528327897 PECOS PAC ID: 6204103567 Enrollment ID: I20170517001869 |
| Provider Name | Diya Banerjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518345743 PECOS PAC ID: 7517236516 Enrollment ID: I20170707000484 |
| Provider Name | Theresa Colberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437592540 PECOS PAC ID: 3274806492 Enrollment ID: I20170911000837 |
| Provider Name | Vanessa Micka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295184059 PECOS PAC ID: 6901165836 Enrollment ID: I20180122001532 |
| Provider Name | Jong Yuan Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588792212 PECOS PAC ID: 9335459387 Enrollment ID: I20180201002618 |
| Provider Name | Nidhi Sharoha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285079178 PECOS PAC ID: 6507165636 Enrollment ID: I20180207001925 |
| Provider Name | Lauren Derhodge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336406248 PECOS PAC ID: 2163783879 Enrollment ID: I20180220002696 |
| Provider Name | Mahsa Mousavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134408834 PECOS PAC ID: 5193089886 Enrollment ID: I20180504000792 |
| Provider Name | Beatrice Desir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508107640 PECOS PAC ID: 7618223892 Enrollment ID: I20180629001897 |
| Provider Name | Sonal S Harneja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902299837 PECOS PAC ID: 0244586386 Enrollment ID: I20180703002287 |
| Provider Name | Michael Underriner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568810109 PECOS PAC ID: 7618223553 Enrollment ID: I20180706000361 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20180814003415 |
| Provider Name | Milena Goldshmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295095594 PECOS PAC ID: 0749589968 Enrollment ID: I20180820001470 |
| Provider Name | Marie Anne Rose Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245570282 PECOS PAC ID: 8022355973 Enrollment ID: I20190130001881 |
| Provider Name | Ivan M Chavarria-siles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316212780 PECOS PAC ID: 4789975327 Enrollment ID: I20190508000368 |
| Provider Name | Melissa Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972998862 PECOS PAC ID: 6901144666 Enrollment ID: I20190726000379 |
| Provider Name | Chidinma A Anamah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558757344 PECOS PAC ID: 6608114970 Enrollment ID: I20190812002819 |
| Provider Name | Zebib Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083001762 PECOS PAC ID: 2961756697 Enrollment ID: I20190926001274 |
| Provider Name | Samar A Jasser |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1881750552 PECOS PAC ID: 4789739509 Enrollment ID: I20191203000537 |
| Provider Name | Jisoo Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497133813 PECOS PAC ID: 2668805300 Enrollment ID: I20191210002713 |
| Provider Name | Stuart Silverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104012228 PECOS PAC ID: 7214152164 Enrollment ID: I20200121002311 |
| Provider Name | Moni Baidya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174767602 PECOS PAC ID: 1557590932 Enrollment ID: I20200214000474 |
| Provider Name | Patricia Klaine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881081503 PECOS PAC ID: 0941547491 Enrollment ID: I20200414001704 |
| Provider Name | Monica Badillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982083077 PECOS PAC ID: 0840621033 Enrollment ID: I20200501001828 |
| Provider Name | Tiffany Tryniszewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467831255 PECOS PAC ID: 4688910078 Enrollment ID: I20200505002792 |
| Provider Name | Andrew Lelin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588119762 PECOS PAC ID: 7113341629 Enrollment ID: I20200716002800 |
| Provider Name | Katrina Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619463890 PECOS PAC ID: 4981953452 Enrollment ID: I20200723000809 |
| Provider Name | Alejandra Cattan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811349012 PECOS PAC ID: 3971927641 Enrollment ID: I20200728002400 |
| Provider Name | Alexandra Baluna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982098901 PECOS PAC ID: 5799100624 Enrollment ID: I20200810000400 |
| Provider Name | Jacqueline Lewandowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184088981 PECOS PAC ID: 1759627482 Enrollment ID: I20200818000716 |
| Provider Name | Geoffrey Edelstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922617190 PECOS PAC ID: 7810315702 Enrollment ID: I20200909000929 |
| Provider Name | Limore Maron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932363827 PECOS PAC ID: 4880888122 Enrollment ID: I20200925001910 |
| Provider Name | Tanya Dutta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326330242 PECOS PAC ID: 2466690326 Enrollment ID: I20200929002708 |
| Provider Name | Jan Vincent Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420088 PECOS PAC ID: 6608134986 Enrollment ID: I20200930000958 |
| Provider Name | Aneela Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497279665 PECOS PAC ID: 6305265851 Enrollment ID: I20201001002531 |
| Provider Name | Rigoberto Leyva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457706715 PECOS PAC ID: 4587957030 Enrollment ID: I20210127002222 |
| Provider Name | Tom Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464623 PECOS PAC ID: 1658621644 Enrollment ID: I20210201000293 |
| Provider Name | Joshua A Kaufman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689038788 PECOS PAC ID: 4789921347 Enrollment ID: I20210223002677 |
| Provider Name | Jada Khosla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457474272 PECOS PAC ID: 0648589192 Enrollment ID: I20210402000263 |
| Provider Name | Susan Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588196018 PECOS PAC ID: 0244632248 Enrollment ID: I20210714000402 |
| Provider Name | Faizan Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316391725 PECOS PAC ID: 1153667761 Enrollment ID: I20210723002573 |
| Provider Name | Lourdes Chahin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003851148 PECOS PAC ID: 9234134297 Enrollment ID: I20210723002644 |
| Provider Name | Alexander Wittenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386176568 PECOS PAC ID: 5890031900 Enrollment ID: I20210723003249 |
| Provider Name | Namrata Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023539392 PECOS PAC ID: 8628316585 Enrollment ID: I20210724000057 |
| Provider Name | Albert Luong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801327481 PECOS PAC ID: 0345643664 Enrollment ID: I20210724000084 |
| Provider Name | Sabrina Ghim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710419437 PECOS PAC ID: 6507102951 Enrollment ID: I20210727000302 |
| Provider Name | Prince Prabhakar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902255540 PECOS PAC ID: 5193128320 Enrollment ID: I20210727000384 |
| Provider Name | Duy Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881123347 PECOS PAC ID: 2264700319 Enrollment ID: I20210727001231 |
| Provider Name | Briana Mathews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690896 PECOS PAC ID: 6305249467 Enrollment ID: I20210727001955 |
| Provider Name | Caitlin Aguiar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194257014 PECOS PAC ID: 3274892716 Enrollment ID: I20210903000316 |
| Provider Name | Tulsie Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609220458 PECOS PAC ID: 9032516364 Enrollment ID: I20210929000346 |
| Provider Name | Annmarie Azepiha Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336583913 PECOS PAC ID: 9032425665 Enrollment ID: I20211005000202 |
| Provider Name | David Whitehouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598012528 PECOS PAC ID: 9739586132 Enrollment ID: I20211012001046 |
| Provider Name | David Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492125 PECOS PAC ID: 1951710979 Enrollment ID: I20211022002015 |
| Provider Name | Zia Camille Ahearn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720614183 PECOS PAC ID: 2163810060 Enrollment ID: I20211026002408 |
| Provider Name | Douglas Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336280023 PECOS PAC ID: 7416109012 Enrollment ID: I20211027003192 |
| Provider Name | Seth Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831331628 PECOS PAC ID: 0941548978 Enrollment ID: I20211101001885 |
| Provider Name | Alexandra Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720432289 PECOS PAC ID: 8426392275 Enrollment ID: I20211103000501 |
| Provider Name | Glenn A Occhiogrosso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992965321 PECOS PAC ID: 3870724255 Enrollment ID: I20211108002419 |
| Provider Name | Jingu Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720566177 PECOS PAC ID: 6507255742 Enrollment ID: I20211110000497 |
| Provider Name | Shuo He |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427311463 PECOS PAC ID: 9830484575 Enrollment ID: I20211110000992 |
| Provider Name | Deborah Edelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396150876 PECOS PAC ID: 1951790062 Enrollment ID: I20211111000728 |
| Provider Name | Desiderio Pina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043206998 PECOS PAC ID: 2961305867 Enrollment ID: I20211112001813 |
| Provider Name | Sophie Weinberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437512902 PECOS PAC ID: 9436497807 Enrollment ID: I20211115002340 |
| Provider Name | Sophia Dube |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891138442 PECOS PAC ID: 6608143011 Enrollment ID: I20211208000381 |
| Provider Name | Sharonda Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487807145 PECOS PAC ID: 4183850621 Enrollment ID: I20211220001870 |
| Provider Name | Geoffrey Peckover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336520808 PECOS PAC ID: 0648662924 Enrollment ID: I20220118001981 |
| Provider Name | Brenda Camacho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821175134 PECOS PAC ID: 9638313737 Enrollment ID: I20220118002177 |
| Provider Name | Valentina Doumanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205882693 PECOS PAC ID: 8527063098 Enrollment ID: I20220119001982 |
| Provider Name | John Whittier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225562564 PECOS PAC ID: 8022408525 Enrollment ID: I20220125001260 |
| Provider Name | Lenzetta Rolle-lake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295182038 PECOS PAC ID: 1951794601 Enrollment ID: I20220202000840 |
| Provider Name | Jenna Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144674904 PECOS PAC ID: 0840536488 Enrollment ID: I20220207000376 |
| Provider Name | Colter J Boita |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699207571 PECOS PAC ID: 5799178182 Enrollment ID: I20220208000155 |
| Provider Name | Courtney Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396139036 PECOS PAC ID: 2466871066 Enrollment ID: I20220209000036 |
| Provider Name | Emmalee Boyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407388572 PECOS PAC ID: 0446523898 Enrollment ID: I20220209001239 |
| Provider Name | Kavita M Vasu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740419092 PECOS PAC ID: 4789868464 Enrollment ID: I20220209002423 |
| Provider Name | Sumeet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851710461 PECOS PAC ID: 6901150671 Enrollment ID: I20220210002392 |
| Provider Name | Maria Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518303197 PECOS PAC ID: 5294013744 Enrollment ID: I20220215001338 |
| Provider Name | Thayanne Delima-tokarz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619233657 PECOS PAC ID: 9830497007 Enrollment ID: I20220223000214 |
| Provider Name | Dayana Arteaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881048593 PECOS PAC ID: 6204123516 Enrollment ID: I20220307000593 |
| Provider Name | Oluwakemi Aje |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720418627 PECOS PAC ID: 3971845132 Enrollment ID: I20220309000615 |
| Provider Name | Edgar Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568668176 PECOS PAC ID: 2062731649 Enrollment ID: I20220310000192 |
| Provider Name | Lois Macdonnell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154375756 PECOS PAC ID: 4880680222 Enrollment ID: I20220315002766 |
| Provider Name | Nereida Gonzalez-berrios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528279874 PECOS PAC ID: 3870666019 Enrollment ID: I20220316003288 |
| Provider Name | Meena Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639451263 PECOS PAC ID: 4082871728 Enrollment ID: I20220317000959 |
| Provider Name | Dallas M Fleming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821135104 PECOS PAC ID: 4789759622 Enrollment ID: I20220319000009 |
| Provider Name | Rebecca A Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548732498 PECOS PAC ID: 5597150938 Enrollment ID: I20220321002440 |
| Provider Name | Shannon Ordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881125755 PECOS PAC ID: 8527399153 Enrollment ID: I20220322001016 |
| Provider Name | Adefemi Taiwo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477895860 PECOS PAC ID: 4880944941 Enrollment ID: I20220328001867 |
| Provider Name | Cesar De Paz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568620672 PECOS PAC ID: 1254570294 Enrollment ID: I20220401000671 |
| Provider Name | Jessi Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629572920 PECOS PAC ID: 2062758386 Enrollment ID: I20220405002198 |
| Provider Name | Maria Carvajal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841722493 PECOS PAC ID: 0345668356 Enrollment ID: I20220406000017 |
| Provider Name | George Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487729141 PECOS PAC ID: 7113092271 Enrollment ID: I20220406001665 |
| Provider Name | Michelle Jeannette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861469322 PECOS PAC ID: 8123915931 Enrollment ID: I20220406002688 |
| Provider Name | Layna Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861812463 PECOS PAC ID: 7113228784 Enrollment ID: I20220412002210 |
| Provider Name | Emily Doyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962437665 PECOS PAC ID: 4284644881 Enrollment ID: I20220413000263 |
| Provider Name | Kari Whatley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033505979 PECOS PAC ID: 3375853856 Enrollment ID: I20220413000606 |
| Provider Name | Cristina Seicarescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295942290 PECOS PAC ID: 6002932936 Enrollment ID: I20220421000521 |
| Provider Name | Alice Jiang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649777376 PECOS PAC ID: 7315334349 Enrollment ID: I20220421001896 |
| Provider Name | Krizia L Gupiteo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447787221 PECOS PAC ID: 6002234028 Enrollment ID: I20220425000470 |
| Provider Name | Sarah Mennella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659802148 PECOS PAC ID: 6204107956 Enrollment ID: I20220428001427 |
| Provider Name | Leela Vasileff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447782834 PECOS PAC ID: 8820488596 Enrollment ID: I20220428001548 |
| Provider Name | Steven Atkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487017638 PECOS PAC ID: 6608295464 Enrollment ID: I20220503000930 |
| Provider Name | Gary Stein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811063027 PECOS PAC ID: 1355308339 Enrollment ID: I20220503001541 |
| Provider Name | Elaine Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710423702 PECOS PAC ID: 9638442718 Enrollment ID: I20220503001638 |
| Provider Name | Menachem Liss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306342308 PECOS PAC ID: 1850778994 Enrollment ID: I20220511001871 |
| Provider Name | Diane Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306073606 PECOS PAC ID: 5597038026 Enrollment ID: I20220511002327 |
| Provider Name | Divya Khosla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386177640 PECOS PAC ID: 4587938212 Enrollment ID: I20220512002198 |
| Provider Name | Gerald Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649518697 PECOS PAC ID: 5991182727 Enrollment ID: I20220518002208 |
| Provider Name | Veronica Perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538555669 PECOS PAC ID: 0941622138 Enrollment ID: I20220520000110 |
| Provider Name | Siera Kirkland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790103547 PECOS PAC ID: 9830440866 Enrollment ID: I20220523002361 |
| Provider Name | Marcos Modiano Esquenazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699903336 PECOS PAC ID: 9931340221 Enrollment ID: I20220531000227 |
| Provider Name | Roshni Panchal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023423415 PECOS PAC ID: 1759778160 Enrollment ID: I20220601001824 |
| Provider Name | Lynnea Carder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639214455 PECOS PAC ID: 7719083179 Enrollment ID: I20220602001213 |
| Provider Name | Delia Nieves Arvelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578656351 PECOS PAC ID: 2668494097 Enrollment ID: I20220606000164 |
| Provider Name | Lisa Ekeanyanwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215430079 PECOS PAC ID: 1658759774 Enrollment ID: I20220606000460 |
| Provider Name | Angela Shields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023309747 PECOS PAC ID: 0345564431 Enrollment ID: I20220607001120 |
| Provider Name | Vazhuvelil Namitha Menon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558780676 PECOS PAC ID: 4981931755 Enrollment ID: I20220607001711 |
| Provider Name | Ellen Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447997879 PECOS PAC ID: 4587042379 Enrollment ID: I20220607002257 |
| Provider Name | Nicole Parrish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477087757 PECOS PAC ID: 9032482526 Enrollment ID: I20220607002560 |
| Provider Name | Raul Sergio Madrigal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821581042 PECOS PAC ID: 5991183071 Enrollment ID: I20220608000695 |
| Provider Name | Alan Robertson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104969484 PECOS PAC ID: 4385946037 Enrollment ID: I20220608001069 |
| Provider Name | Nina Jaffarzad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245627181 PECOS PAC ID: 4789980632 Enrollment ID: I20220608002976 |
| Provider Name | Lawrence Stansberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225534076 PECOS PAC ID: 0941557367 Enrollment ID: I20220608003098 |
| Provider Name | Arif Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033648068 PECOS PAC ID: 7113313685 Enrollment ID: I20220609001139 |
| Provider Name | Ali Imran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386170322 PECOS PAC ID: 8123365244 Enrollment ID: I20220609002438 |
| Provider Name | Sachin Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104109990 PECOS PAC ID: 0648588103 Enrollment ID: I20220610001924 |
| Provider Name | Columban Heo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003341504 PECOS PAC ID: 9032461850 Enrollment ID: I20220610001935 |
| Provider Name | Matthew Steven Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578051363 PECOS PAC ID: 5496001091 Enrollment ID: I20220615000300 |
| Provider Name | Ian Victor Provo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235614124 PECOS PAC ID: 1254710676 Enrollment ID: I20220615001376 |
| Provider Name | Camille Mendez Maldonado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851654438 PECOS PAC ID: 0749610764 Enrollment ID: I20220616002444 |
| Provider Name | Nilesh Tannu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760738462 PECOS PAC ID: 9931411055 Enrollment ID: I20220617000361 |
| Provider Name | Charli Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114239316 PECOS PAC ID: 6002035813 Enrollment ID: I20220620001414 |
| Provider Name | Victoria Anna Padow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285122200 PECOS PAC ID: 5890174874 Enrollment ID: I20220622000906 |
| Provider Name | Wendy You |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073005302 PECOS PAC ID: 0244619229 Enrollment ID: I20220622000931 |
| Provider Name | Jessica Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699061275 PECOS PAC ID: 1456730852 Enrollment ID: I20220622000970 |
| Provider Name | Harshasu Barot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023543329 PECOS PAC ID: 0345592176 Enrollment ID: I20220622001471 |
| Provider Name | Swagato Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720585458 PECOS PAC ID: 2062766538 Enrollment ID: I20220623001570 |
| Provider Name | Mayowa Olusunmade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982138434 PECOS PAC ID: 1557772191 Enrollment ID: I20220623002124 |
| Provider Name | Lorangelly Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942662598 PECOS PAC ID: 9234489238 Enrollment ID: I20220628001923 |
| Provider Name | Jeffrey Seley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881700532 PECOS PAC ID: 7416925839 Enrollment ID: I20220628002098 |
| Provider Name | Gaurav Agarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265936728 PECOS PAC ID: 6406236009 Enrollment ID: I20220629000376 |
| Provider Name | Jacob Kannarkat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255856456 PECOS PAC ID: 0749660363 Enrollment ID: I20220629000707 |
| Provider Name | Holly Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346453727 PECOS PAC ID: 2961675418 Enrollment ID: I20220629001510 |
| Provider Name | Andrea M Birnbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790263101 PECOS PAC ID: 2961881545 Enrollment ID: I20220630000555 |
| Provider Name | Neha Goel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770060576 PECOS PAC ID: 6507104619 Enrollment ID: I20220701001450 |
| Provider Name | Justin Pereira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912402348 PECOS PAC ID: 1153675756 Enrollment ID: I20220706000032 |
| Provider Name | Cecilia Fitz-gerald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841723103 PECOS PAC ID: 1456731900 Enrollment ID: I20220706000421 |
| Provider Name | Elizabeth Cristina Marron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326538885 PECOS PAC ID: 5698155919 Enrollment ID: I20220707003942 |
| Provider Name | Michael Lukowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265844476 PECOS PAC ID: 3870850472 Enrollment ID: I20220708001586 |
| Provider Name | Alicia Batson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255576005 PECOS PAC ID: 3870587355 Enrollment ID: I20220708002919 |
| Provider Name | Thomas Guyden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528070786 PECOS PAC ID: 4486550639 Enrollment ID: I20220711000682 |
| Provider Name | Logan K. Wink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477714830 PECOS PAC ID: 0941492730 Enrollment ID: I20220711001419 |
| Provider Name | Fang Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881014637 PECOS PAC ID: 2567858590 Enrollment ID: I20220711002460 |
| Provider Name | Hallie Knopf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003313198 PECOS PAC ID: 4789064890 Enrollment ID: I20220712001608 |
| Provider Name | Rana Kaleemullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497072722 PECOS PAC ID: 2961705108 Enrollment ID: I20220712001699 |
| Provider Name | Matthew Koller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457855033 PECOS PAC ID: 6507246451 Enrollment ID: I20220712002440 |
| Provider Name | Laura Planche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659800969 PECOS PAC ID: 2668852344 Enrollment ID: I20220712002550 |
| Provider Name | Amal Sharifi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386937688 PECOS PAC ID: 1759693476 Enrollment ID: I20220712003374 |
| Provider Name | Maria Abramov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285169383 PECOS PAC ID: 2860739661 Enrollment ID: I20220713000230 |
| Provider Name | Kyle Galati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932698180 PECOS PAC ID: 3072859081 Enrollment ID: I20220713000452 |
| Provider Name | Cory Alfers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063667566 PECOS PAC ID: 6709066095 Enrollment ID: I20220713001674 |
| Provider Name | Michelle Shya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932860624 PECOS PAC ID: 9830578517 Enrollment ID: I20220715001321 |
| Provider Name | Thomas Mullenix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457857468 PECOS PAC ID: 0244611440 Enrollment ID: I20220719003791 |
| Provider Name | Erendira Vianey Orozco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386140283 PECOS PAC ID: 1153663125 Enrollment ID: I20220719003859 |
| Provider Name | Clara H Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265938476 PECOS PAC ID: 2567710734 Enrollment ID: I20220720000565 |
| Provider Name | Mark Varela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356847511 PECOS PAC ID: 0042567265 Enrollment ID: I20220720000680 |
| Provider Name | Stuart Lucas Hedgpeth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396236923 PECOS PAC ID: 8527314061 Enrollment ID: I20220720000879 |
| Provider Name | Ruosi Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164911566 PECOS PAC ID: 6002160306 Enrollment ID: I20220721000644 |
| Provider Name | Sabera Saklayen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659735488 PECOS PAC ID: 5092196030 Enrollment ID: I20220721001985 |
| Provider Name | Alyssa Norman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235629825 PECOS PAC ID: 0648517730 Enrollment ID: I20220726002014 |
| Provider Name | Giselle Brito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083033500 PECOS PAC ID: 5799166468 Enrollment ID: I20220726002144 |
| Provider Name | Nirupama Natarajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679068548 PECOS PAC ID: 7517349319 Enrollment ID: I20220726002171 |
| Provider Name | Faiza Farooq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063992568 PECOS PAC ID: 7012399819 Enrollment ID: I20220726002375 |
| Provider Name | Amber Blue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124415484 PECOS PAC ID: 4385956523 Enrollment ID: I20220726002535 |
| Provider Name | Megan Tusken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497251078 PECOS PAC ID: 0547641490 Enrollment ID: I20220727001225 |
| Provider Name | Daniel Stehli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861989345 PECOS PAC ID: 0042691677 Enrollment ID: I20220727002118 |
| Provider Name | Jamelle Amouri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881126381 PECOS PAC ID: 0547532111 Enrollment ID: I20220727004121 |
| Provider Name | Molly Fels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093210478 PECOS PAC ID: 5294071254 Enrollment ID: I20220727004255 |
| Provider Name | Caitlin A Gardiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013449727 PECOS PAC ID: 8325385966 Enrollment ID: I20220728000338 |
| Provider Name | Joyln Ferrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457888679 PECOS PAC ID: 4880002104 Enrollment ID: I20220729000087 |
| Provider Name | Shehram Majid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588160386 PECOS PAC ID: 9133477409 Enrollment ID: I20220729002800 |
| Provider Name | Jessica Grimes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518323823 PECOS PAC ID: 1153738497 Enrollment ID: I20220802003630 |
| Provider Name | Jonathan Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295228492 PECOS PAC ID: 8426430794 Enrollment ID: I20220803000505 |
| Provider Name | Jill A Collum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902432164 PECOS PAC ID: 7719307792 Enrollment ID: I20220804001680 |
| Provider Name | Shadi Lavasani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366891665 PECOS PAC ID: 7416238399 Enrollment ID: I20220804003570 |
| Provider Name | Sarah Mcnair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053798231 PECOS PAC ID: 6800278896 Enrollment ID: I20220809001128 |
| Provider Name | Lee Dockery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225526320 PECOS PAC ID: 9133501331 Enrollment ID: I20220809001550 |
| Provider Name | Satveet Khela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306378369 PECOS PAC ID: 8022350529 Enrollment ID: I20220810001098 |
| Provider Name | Lindsay Legnon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861615205 PECOS PAC ID: 0547293904 Enrollment ID: I20220810001497 |
| Provider Name | Puja Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265748685 PECOS PAC ID: 0244473676 Enrollment ID: I20220811003354 |
| Provider Name | Esha Garg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427555853 PECOS PAC ID: 1850640616 Enrollment ID: I20220812001905 |
| Provider Name | Eneida F Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598293284 PECOS PAC ID: 6305266123 Enrollment ID: I20220812003076 |
| Provider Name | Michael Roman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346745254 PECOS PAC ID: 4385027044 Enrollment ID: I20220816000075 |
| Provider Name | Estefany Garces Uribe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447783873 PECOS PAC ID: 9436487840 Enrollment ID: I20220816001046 |
| Provider Name | Priya Mukhopadhyay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144717869 PECOS PAC ID: 3173906641 Enrollment ID: I20220816001501 |
| Provider Name | Rayal Gorrepati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114190949 PECOS PAC ID: 1850530890 Enrollment ID: I20220816002365 |
| Provider Name | Raquel Weinum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740341031 PECOS PAC ID: 3678956117 Enrollment ID: I20220817000873 |
| Provider Name | Albert M Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366930158 PECOS PAC ID: 7012253248 Enrollment ID: I20220818000164 |
| Provider Name | Samuel Russell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326578410 PECOS PAC ID: 1052680774 Enrollment ID: I20220818000181 |
| Provider Name | Susmita Hazarika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982142550 PECOS PAC ID: 0941585772 Enrollment ID: I20220818001925 |
| Provider Name | Raafay Mohammad Deen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447757877 PECOS PAC ID: 0547643892 Enrollment ID: I20220818003205 |
| Provider Name | Thy Minh Vo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255867586 PECOS PAC ID: 6901175116 Enrollment ID: I20220818003237 |
| Provider Name | Vien Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114217775 PECOS PAC ID: 3072830918 Enrollment ID: I20220818003268 |
| Provider Name | Megan Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124511 PECOS PAC ID: 5597012070 Enrollment ID: I20220823000654 |
| Provider Name | Parthy R Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346735396 PECOS PAC ID: 9830434042 Enrollment ID: I20220824000413 |
| Provider Name | Jennifer Snowden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720067093 PECOS PAC ID: 6709956261 Enrollment ID: I20220824000493 |
| Provider Name | Kathryn Marie Zietkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699970939 PECOS PAC ID: 5193108157 Enrollment ID: I20220824001273 |
| Provider Name | Laura Ginory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134392822 PECOS PAC ID: 7911131636 Enrollment ID: I20220825000446 |
| Provider Name | Kevin Dicesare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265491674 PECOS PAC ID: 1456241918 Enrollment ID: I20220825002557 |
| Provider Name | Rachel Sherhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548671449 PECOS PAC ID: 2264797216 Enrollment ID: I20220829002746 |
| Provider Name | Kristin Ratz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740668193 PECOS PAC ID: 8729353818 Enrollment ID: I20220831002335 |
| Provider Name | Sencan S Unal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326019985 PECOS PAC ID: 8325023526 Enrollment ID: I20220901001566 |
| Provider Name | Michael Hottois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710027933 PECOS PAC ID: 6901704709 Enrollment ID: I20220901003030 |
| Provider Name | Anant Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437187838 PECOS PAC ID: 5092726653 Enrollment ID: I20220913000198 |
| Provider Name | Jeena John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093202871 PECOS PAC ID: 2365796844 Enrollment ID: I20220913001635 |
| Provider Name | Wendi Waits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871583252 PECOS PAC ID: 3870842834 Enrollment ID: I20220913002295 |
| Provider Name | Christopher Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891182564 PECOS PAC ID: 7416251095 Enrollment ID: I20220913002513 |
| Provider Name | Hershenta Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20220914000780 |
| Provider Name | Abby Reineck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346334760 PECOS PAC ID: 9931370673 Enrollment ID: I20220914003416 |
| Provider Name | Virginia Yates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063412500 PECOS PAC ID: 5991929812 Enrollment ID: I20220915000327 |
| Provider Name | Karl Goodkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538176466 PECOS PAC ID: 6901991470 Enrollment ID: I20220920000124 |
| Provider Name | Megan Marumoto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760472765 PECOS PAC ID: 6800278516 Enrollment ID: I20220920000190 |
| Provider Name | Alexis Kropf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780172676 PECOS PAC ID: 1557740008 Enrollment ID: I20220920001353 |
| Provider Name | Benjamin Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255725511 PECOS PAC ID: 1456642537 Enrollment ID: I20220921002313 |
| Provider Name | Osman Athar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932587979 PECOS PAC ID: 0547237554 Enrollment ID: I20220921003242 |
| Provider Name | Sarah Debrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376963413 PECOS PAC ID: 1951646082 Enrollment ID: I20220922002380 |
| Provider Name | Syed Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180299 PECOS PAC ID: 9234514472 Enrollment ID: I20220923001716 |
| Provider Name | Mustafa Taquee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578069746 PECOS PAC ID: 4284980319 Enrollment ID: I20220923002103 |
| Provider Name | Vincent Seeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477803658 PECOS PAC ID: 3173909355 Enrollment ID: I20220927000718 |
| Provider Name | Angelene Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821298118 PECOS PAC ID: 4587756119 Enrollment ID: I20220927002885 |
| Provider Name | Marla Richard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578720934 PECOS PAC ID: 0345528204 Enrollment ID: I20220929000988 |
| Provider Name | Karelis Sierra-cintron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215145008 PECOS PAC ID: 7810181138 Enrollment ID: I20221003000842 |
| Provider Name | Kristina M Schnitzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972984680 PECOS PAC ID: 0749595577 Enrollment ID: I20221003001416 |
| Provider Name | Marisa Serrato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154370823 PECOS PAC ID: 1658260120 Enrollment ID: I20221003001522 |
| Provider Name | Jorge Corona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235636671 PECOS PAC ID: 4981087350 Enrollment ID: I20221004001222 |
| Provider Name | Michael A Cerullo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649345026 PECOS PAC ID: 8123045648 Enrollment ID: I20221004002274 |
| Provider Name | Christopher John Hasseltine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205809001 PECOS PAC ID: 5890723746 Enrollment ID: I20221005002582 |
| Provider Name | Robert Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124175609 PECOS PAC ID: 5496730335 Enrollment ID: I20221005003317 |
| Provider Name | Diana Bleyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316444037 PECOS PAC ID: 8224411962 Enrollment ID: I20221006002387 |
| Provider Name | Sujal Kotadia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528300548 PECOS PAC ID: 7214207380 Enrollment ID: I20221007002792 |
| Provider Name | Mohammed Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811438682 PECOS PAC ID: 0840627477 Enrollment ID: I20221011002482 |
| Provider Name | Shama Milon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790226926 PECOS PAC ID: 4486990645 Enrollment ID: I20221012000561 |
| Provider Name | Kei Okochi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154826014 PECOS PAC ID: 9234483819 Enrollment ID: I20221012002052 |
| Provider Name | Pamela Shay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013236538 PECOS PAC ID: 6305229659 Enrollment ID: I20221012003805 |
| Provider Name | Sumaiyah Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508398389 PECOS PAC ID: 9638416381 Enrollment ID: I20221017002420 |
| Provider Name | Ekaterini Telonis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679070676 PECOS PAC ID: 3072859933 Enrollment ID: I20221018002352 |
| Provider Name | Carmen Orellana Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205191988 PECOS PAC ID: 8527206648 Enrollment ID: I20221018003050 |
| Provider Name | Michael Escamilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801903893 PECOS PAC ID: 0547317778 Enrollment ID: I20221018003257 |
| Provider Name | Sochima Isioma Ochije |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609305655 PECOS PAC ID: 5991131534 Enrollment ID: I20221020000958 |
| Provider Name | Boski Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255727749 PECOS PAC ID: 4082049614 Enrollment ID: I20221020001556 |
| Provider Name | Jordan L Malray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750875316 PECOS PAC ID: 8022484708 Enrollment ID: I20221020002283 |
| Provider Name | Joseph Ikekwere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568859635 PECOS PAC ID: 5395007702 Enrollment ID: I20221020002437 |
| Provider Name | Nicole Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063918449 PECOS PAC ID: 7012391907 Enrollment ID: I20221020002495 |
| Provider Name | Cheryl Person |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366468746 PECOS PAC ID: 1254330814 Enrollment ID: I20221020002978 |
| Provider Name | Tiffany Abtahi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710383963 PECOS PAC ID: 6709262199 Enrollment ID: I20221021000864 |
| Provider Name | Alexandra Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477058410 PECOS PAC ID: 0143578641 Enrollment ID: I20221021001903 |
| Provider Name | Mary Stephenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962512707 PECOS PAC ID: 5991755712 Enrollment ID: I20221021002106 |
| Provider Name | Mary Bartek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073715561 PECOS PAC ID: 4880726678 Enrollment ID: I20221022000090 |
| Provider Name | Ayesha Haq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871724021 PECOS PAC ID: 3072746916 Enrollment ID: I20221022000091 |
| Provider Name | Amy Mattern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275927139 PECOS PAC ID: 1052621984 Enrollment ID: I20221022000093 |
| Provider Name | Michele N Schaefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366414393 PECOS PAC ID: 6901822303 Enrollment ID: I20221024000157 |
| Provider Name | Michael Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861458978 PECOS PAC ID: 8224069653 Enrollment ID: I20221024000191 |
| Provider Name | Jedd Jack Audry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427535202 PECOS PAC ID: 1658629068 Enrollment ID: I20221024000214 |
| Provider Name | David Dixon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255741385 PECOS PAC ID: 6901027986 Enrollment ID: I20221024000237 |
| Provider Name | Luke Romanow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528301116 PECOS PAC ID: 8325277825 Enrollment ID: I20221024000271 |
| Provider Name | Tetyana Tarnavsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689807893 PECOS PAC ID: 2466686662 Enrollment ID: I20221024002533 |
| Provider Name | Catherine Cashman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326347501 PECOS PAC ID: 6305129560 Enrollment ID: I20221024002574 |
| Provider Name | Elizabeth Faust |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629027495 PECOS PAC ID: 9537395488 Enrollment ID: I20221024002581 |
| Provider Name | Michelle Hornbaker-park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265673263 PECOS PAC ID: 2961743844 Enrollment ID: I20221025000141 |
| Provider Name | Anastasia Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528589710 PECOS PAC ID: 6709157431 Enrollment ID: I20221025000172 |
| Provider Name | Andrea St. Clair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265753255 PECOS PAC ID: 3375785504 Enrollment ID: I20221025000206 |
| Provider Name | Esther Bilenkis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104346972 PECOS PAC ID: 4587030010 Enrollment ID: I20221025000236 |
| Provider Name | Patricia Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194222679 PECOS PAC ID: 0446626816 Enrollment ID: I20221026002899 |
| Provider Name | Jean Jubert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295266161 PECOS PAC ID: 2860897550 Enrollment ID: I20221110001301 |
| Provider Name | Andrea Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063876456 PECOS PAC ID: 6406140185 Enrollment ID: I20221110001303 |
| Provider Name | Kaycia Vansickle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780796755 PECOS PAC ID: 0941279079 Enrollment ID: I20221111000214 |
| Provider Name | Amber Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720220601 PECOS PAC ID: 4284874710 Enrollment ID: I20221114000831 |
| Provider Name | Jennifer Shoenfelt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659562965 PECOS PAC ID: 8729153820 Enrollment ID: I20221114001506 |
| Provider Name | Bridgette Hathaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275141061 PECOS PAC ID: 3870961360 Enrollment ID: I20221114002302 |
| Provider Name | Robert Werner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558775148 PECOS PAC ID: 2163711912 Enrollment ID: I20221115000115 |
| Provider Name | Winifred Wolfe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902338593 PECOS PAC ID: 6608147673 Enrollment ID: I20221115001429 |
| Provider Name | Dannette Napier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437642048 PECOS PAC ID: 4183973597 Enrollment ID: I20221115003087 |
| Provider Name | Dia Arpon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639102395 PECOS PAC ID: 6002877610 Enrollment ID: I20221116000232 |
| Provider Name | Thomas Newton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629003488 PECOS PAC ID: 8729346085 Enrollment ID: I20221116000925 |
| Provider Name | Kirk Ramsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346389855 PECOS PAC ID: 0941324131 Enrollment ID: I20221117000648 |
| Provider Name | Stephanie Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578097077 PECOS PAC ID: 6800219403 Enrollment ID: I20221117001808 |
| Provider Name | Serena Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275039653 PECOS PAC ID: 9638552375 Enrollment ID: I20221121000298 |
| Provider Name | Gloria Oyeniyi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336430818 PECOS PAC ID: 7719293406 Enrollment ID: I20221122000444 |
| Provider Name | Lisa Llanas Hagberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831139377 PECOS PAC ID: 3476467002 Enrollment ID: I20221122001091 |
| Provider Name | Rita Shaughnessy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548297906 PECOS PAC ID: 3173656394 Enrollment ID: I20221122002443 |
| Provider Name | Janeen Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073580387 PECOS PAC ID: 4486541141 Enrollment ID: I20221123000479 |
| Provider Name | Feng Dong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780913616 PECOS PAC ID: 5496925281 Enrollment ID: I20221123000582 |
| Provider Name | Aileen Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154483733 PECOS PAC ID: 9537319207 Enrollment ID: I20221123001684 |
| Provider Name | Faujia Sobhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457493819 PECOS PAC ID: 0143291393 Enrollment ID: I20221123001707 |
| Provider Name | Jerry Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740385483 PECOS PAC ID: 1557447695 Enrollment ID: I20221125000285 |
| Provider Name | Triston Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669969010 PECOS PAC ID: 8729333497 Enrollment ID: I20221125000357 |
| Provider Name | Holly Shiao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013209691 PECOS PAC ID: 4284932427 Enrollment ID: I20221128001058 |
| Provider Name | Amanda Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689025330 PECOS PAC ID: 9234496845 Enrollment ID: I20221129001656 |
| Provider Name | Maxine Zhou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720585821 PECOS PAC ID: 6800136334 Enrollment ID: I20221129002126 |
| Provider Name | Marnie Stefan Acta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336301753 PECOS PAC ID: 7012163231 Enrollment ID: I20221130001044 |
| Provider Name | Dana Sommers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326761776 PECOS PAC ID: 7810365582 Enrollment ID: I20221130002382 |
| Provider Name | Abigail Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063947083 PECOS PAC ID: 9436428042 Enrollment ID: I20221130003527 |
| Provider Name | Ayanna Swinton Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053359851 PECOS PAC ID: 2163445735 Enrollment ID: I20221208001656 |
| Provider Name | David Spiggle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538106646 PECOS PAC ID: 3577536432 Enrollment ID: I20221209000802 |
| Provider Name | Eunjin Jang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134657372 PECOS PAC ID: 4385913193 Enrollment ID: I20221215001622 |
| Provider Name | Candice Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447663729 PECOS PAC ID: 4587030960 Enrollment ID: I20221215002076 |
| Provider Name | Lakeisha Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265620025 PECOS PAC ID: 6800922477 Enrollment ID: I20221219000786 |
| Provider Name | Susannah Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497974786 PECOS PAC ID: 3971641291 Enrollment ID: I20221219001088 |
| Provider Name | Allison Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346393386 PECOS PAC ID: 6507918273 Enrollment ID: I20221219001668 |
| Provider Name | Shari Sengupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710078928 PECOS PAC ID: 6204975253 Enrollment ID: I20221219002543 |
| Provider Name | Gira Borad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326400284 PECOS PAC ID: 7719273481 Enrollment ID: I20221221001525 |
| Provider Name | Riddhi Kothari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629310701 PECOS PAC ID: 3274832415 Enrollment ID: I20221223000155 |
| Provider Name | Krishna Munshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205067212 PECOS PAC ID: 1456787712 Enrollment ID: I20221227001187 |
| Provider Name | Surinderpal Kahlon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538265483 PECOS PAC ID: 8628021920 Enrollment ID: I20221228001616 |
| Provider Name | Diana Prieto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720424567 PECOS PAC ID: 2062785405 Enrollment ID: I20221228001865 |
| Provider Name | David Jiang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467984435 PECOS PAC ID: 2567733058 Enrollment ID: I20221229002526 |
| Provider Name | Cindy Rossetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811150303 PECOS PAC ID: 8426228834 Enrollment ID: I20221230001223 |
| Provider Name | Anita Vijayakumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134208192 PECOS PAC ID: 1254432206 Enrollment ID: I20230105002908 |
| Provider Name | David Eiler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285926873 PECOS PAC ID: 5193019628 Enrollment ID: I20230110000449 |
| Provider Name | Austin Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225392996 PECOS PAC ID: 9537438833 Enrollment ID: I20230110002348 |
| Provider Name | Cassandra David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629536610 PECOS PAC ID: 2365831195 Enrollment ID: I20230111002791 |
| Provider Name | Swarnalata Debbarma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639607740 PECOS PAC ID: 5294060471 Enrollment ID: I20230120000432 |
| Provider Name | Rishell Tsujimoto-ryzewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558603118 PECOS PAC ID: 4789803776 Enrollment ID: I20230124000688 |
| Provider Name | Jason Kudurogianis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205192077 PECOS PAC ID: 2567740269 Enrollment ID: I20230124002784 |
| Provider Name | Laura Obler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013448711 PECOS PAC ID: 9830420231 Enrollment ID: I20230126000700 |
| Provider Name | Stephen Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710908330 PECOS PAC ID: 1153502620 Enrollment ID: I20230127002367 |
| Provider Name | Anisha Gulati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811215205 PECOS PAC ID: 5698991487 Enrollment ID: I20230131000182 |
| Provider Name | Laura Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518012590 PECOS PAC ID: 0143398875 Enrollment ID: I20230131000773 |
| Provider Name | Kirsten Tollefson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932487550 PECOS PAC ID: 1850529280 Enrollment ID: I20230209002251 |
| Provider Name | Brett Abernethy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134268436 PECOS PAC ID: 7810043973 Enrollment ID: I20230216000433 |
| Provider Name | Michael Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427086776 PECOS PAC ID: 0749269736 Enrollment ID: I20230216001291 |
| Provider Name | Beverly Bryant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558378869 PECOS PAC ID: 7113158445 Enrollment ID: I20230216001771 |
| Provider Name | Samuel Polek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790004646 PECOS PAC ID: 1052556594 Enrollment ID: I20230217001571 |
| Provider Name | Peter Mcgowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679544498 PECOS PAC ID: 2668619107 Enrollment ID: I20230221003009 |
| Provider Name | Sheena Dohar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144618414 PECOS PAC ID: 9234432667 Enrollment ID: I20230223001458 |
| Provider Name | Geoffrey Sinner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851517585 PECOS PAC ID: 3476682097 Enrollment ID: I20230308002276 |
| Provider Name | Mohammed Basith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932593852 PECOS PAC ID: 8022340843 Enrollment ID: I20230309001169 |
| Provider Name | Viga Naik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487019832 PECOS PAC ID: 1557735347 Enrollment ID: I20230317000764 |
| Provider Name | Lindsay Works |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629449780 PECOS PAC ID: 3476927062 Enrollment ID: I20230322001211 |
| Provider Name | Jill M Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518192293 PECOS PAC ID: 9739314774 Enrollment ID: I20230322002744 |
| Provider Name | Megan Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548797517 PECOS PAC ID: 0749550010 Enrollment ID: I20230323002516 |
| Provider Name | Jennifer Pate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275613697 PECOS PAC ID: 0749233104 Enrollment ID: I20230327000672 |
| Provider Name | Kendra Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326381120 PECOS PAC ID: 5395034235 Enrollment ID: I20230327001068 |
| Provider Name | Philip Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902834484 PECOS PAC ID: 1658399001 Enrollment ID: I20230404001842 |
| Provider Name | Bruce Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881753028 PECOS PAC ID: 6103831581 Enrollment ID: I20230410001452 |
| Provider Name | Alexandra Blaes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578925640 PECOS PAC ID: 1658623871 Enrollment ID: I20230413002834 |
| Provider Name | Victor Arballo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023462447 PECOS PAC ID: 8729377429 Enrollment ID: I20230414002338 |
| Provider Name | Tyler Obrien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801357843 PECOS PAC ID: 5395074363 Enrollment ID: I20230424000059 |
| Provider Name | Eduardo Rene Rivera Mirabal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700307238 PECOS PAC ID: 4688039845 Enrollment ID: I20230424001497 |
| Provider Name | Aurianna Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417510512 PECOS PAC ID: 1355671371 Enrollment ID: I20230425001897 |
| Provider Name | Lillian Chioma Cole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376106559 PECOS PAC ID: 5698130656 Enrollment ID: I20230426000424 |
| Provider Name | Alexandra Hamlyn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982100533 PECOS PAC ID: 6305182486 Enrollment ID: I20230426000743 |
| Provider Name | Jillian Saad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871814269 PECOS PAC ID: 7517180052 Enrollment ID: I20230501001275 |
| Provider Name | Timothy Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235504572 PECOS PAC ID: 0941535942 Enrollment ID: I20230502000538 |
| Provider Name | Austin Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023496486 PECOS PAC ID: 0547625196 Enrollment ID: I20230503002439 |
| Provider Name | John Banks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154881746 PECOS PAC ID: 6002145273 Enrollment ID: I20230504002491 |
| Provider Name | Kristen Soukup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841985132 PECOS PAC ID: 5799140257 Enrollment ID: I20230505001051 |
| Provider Name | Xiomara Nieves Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235690298 PECOS PAC ID: 8022473446 Enrollment ID: I20230512001876 |
| Provider Name | Karyn Korsah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982100855 PECOS PAC ID: 2567887110 Enrollment ID: I20230522001152 |
| Provider Name | Jennifer Malia Lyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700449584 PECOS PAC ID: 8820454945 Enrollment ID: I20230525003188 |
| Provider Name | Mary Deckelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881610384 PECOS PAC ID: 5294829370 Enrollment ID: I20230530002127 |
| Provider Name | Mary Phelps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417417205 PECOS PAC ID: 9032576434 Enrollment ID: I20230530002663 |
| Provider Name | Marjorie Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265562250 PECOS PAC ID: 4789985268 Enrollment ID: I20230531001705 |
| Provider Name | James Gharbaoui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205213063 PECOS PAC ID: 9537593454 Enrollment ID: I20230531001889 |
| Provider Name | Knoelle Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013448026 PECOS PAC ID: 1759773393 Enrollment ID: I20230602000327 |
| Provider Name | Lemarie Pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477783496 PECOS PAC ID: 3375799471 Enrollment ID: I20230606000148 |
| Provider Name | Jennifer Ruch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497252977 PECOS PAC ID: 1254716400 Enrollment ID: I20230606001357 |
| Provider Name | Cyndia Choi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972600328 PECOS PAC ID: 0749661734 Enrollment ID: I20230607003004 |
| Provider Name | Joshua Weasen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245897180 PECOS PAC ID: 3375900962 Enrollment ID: I20230613003197 |
| Provider Name | Diana Veliz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003581299 PECOS PAC ID: 6103281704 Enrollment ID: I20230615001253 |
| Provider Name | Elizabeth Tiffany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659660371 PECOS PAC ID: 9234377714 Enrollment ID: I20230622001307 |
| Provider Name | Maria Orejarena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225414196 PECOS PAC ID: 3870823065 Enrollment ID: I20230622002381 |
| Provider Name | Emily Komarczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821654534 PECOS PAC ID: 6204294283 Enrollment ID: I20230628000653 |
| Provider Name | Heather Inano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912263773 PECOS PAC ID: 4688031412 Enrollment ID: I20230629001007 |
| Provider Name | Luis Espinosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699237289 PECOS PAC ID: 2163830670 Enrollment ID: I20230630000101 |
| Provider Name | Daniel Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487114294 PECOS PAC ID: 0648637116 Enrollment ID: I20230705000477 |
| Provider Name | Jason Reece Sadeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912562570 PECOS PAC ID: 0244699536 Enrollment ID: I20230705001529 |
| Provider Name | Christa Defries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881190742 PECOS PAC ID: 9739436189 Enrollment ID: I20230706002232 |
| Provider Name | Johann Othmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518050327 PECOS PAC ID: 3072503580 Enrollment ID: I20230711001163 |
| Provider Name | Stephanie Negrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023495090 PECOS PAC ID: 8224342175 Enrollment ID: I20230712003101 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932337474 PECOS PAC ID: 5294969317 Enrollment ID: I20230727001544 |
| Provider Name | Troy Grantham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013570811 PECOS PAC ID: 6901131721 Enrollment ID: I20230802001474 |
| Provider Name | Phillip Azouz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386105138 PECOS PAC ID: 4385005404 Enrollment ID: I20230804001358 |
| Provider Name | Nicholas Adamo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033767454 PECOS PAC ID: 1951763572 Enrollment ID: I20230815000370 |
| Provider Name | Luke Swider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952965238 PECOS PAC ID: 0143557454 Enrollment ID: I20230818001318 |
| Provider Name | John Hendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508889460 PECOS PAC ID: 9739446600 Enrollment ID: I20230905002262 |
| Provider Name | Jonathan Myrtil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669905451 PECOS PAC ID: 1759782238 Enrollment ID: I20230911004006 |
| Provider Name | Jessica A Vassallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265719587 PECOS PAC ID: 5890149926 Enrollment ID: I20230923000344 |
| Provider Name | Caleb Jordan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619361904 PECOS PAC ID: 2567771249 Enrollment ID: I20231016001254 |
| Provider Name | Jessica Lm Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023632908 PECOS PAC ID: 9436505815 Enrollment ID: I20231020000862 |
| Provider Name | Stephanie Jarvie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619343696 PECOS PAC ID: 7810223989 Enrollment ID: I20231023002514 |
| Provider Name | Tony Tu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326579756 PECOS PAC ID: 5597036228 Enrollment ID: I20231023002974 |
| Provider Name | Mark Simonds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124244991 PECOS PAC ID: 6800867615 Enrollment ID: I20231026000400 |
| Provider Name | Krista Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214547 PECOS PAC ID: 1153636766 Enrollment ID: I20231102003414 |
| Provider Name | Cheryl Dasler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427066513 PECOS PAC ID: 5193810638 Enrollment ID: I20231103001445 |
| Provider Name | Irene Pastis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508123795 PECOS PAC ID: 2769773951 Enrollment ID: I20231106001180 |
| Provider Name | Caitlin Schroen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205326071 PECOS PAC ID: 0143605576 Enrollment ID: I20231206001293 |
| Provider Name | Sandra Estimable |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497421192 PECOS PAC ID: 9335599844 Enrollment ID: I20231226001271 |
| Provider Name | Kaitlyn Niewiarowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104584663 PECOS PAC ID: 9234589359 Enrollment ID: I20240102000837 |
| Provider Name | Renee Larock-gary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700360732 PECOS PAC ID: 6507218682 Enrollment ID: I20240115001473 |
| Provider Name | Brittany Manchester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215440755 PECOS PAC ID: 4082066089 Enrollment ID: I20240116000334 |
| Provider Name | Samantha Jean Iannuzzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346988136 PECOS PAC ID: 1850743634 Enrollment ID: I20240117002178 |
| Provider Name | Taylor Jarrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821605460 PECOS PAC ID: 3375914427 Enrollment ID: I20240117002426 |
| Provider Name | Danielle Labarre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841962560 PECOS PAC ID: 1557713641 Enrollment ID: I20240117003710 |
| Provider Name | Thomas P Crane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750841318 PECOS PAC ID: 3375870660 Enrollment ID: I20240118002897 |
| Provider Name | Leah E Clary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164851606 PECOS PAC ID: 3274982442 Enrollment ID: I20240118003301 |
| Provider Name | Shannon Anne Mcelhone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205388261 PECOS PAC ID: 5395197990 Enrollment ID: I20240119002118 |
| Provider Name | Nudedrose Rose Guirand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114603297 PECOS PAC ID: 1658723127 Enrollment ID: I20240119002855 |
| Provider Name | Tracey Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558026617 PECOS PAC ID: 2365894458 Enrollment ID: I20240119003317 |
| Provider Name | Shelby Goicochea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649730938 PECOS PAC ID: 1759714132 Enrollment ID: I20240123002462 |
| Provider Name | Irene R Garrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467795294 PECOS PAC ID: 2365894573 Enrollment ID: I20240123002683 |
| Provider Name | Karina Johanna Eugenio Vargas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467105304 PECOS PAC ID: 2163872011 Enrollment ID: I20240124000315 |
| Provider Name | David Krassner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841552056 PECOS PAC ID: 8123012499 Enrollment ID: I20240124001069 |
| Provider Name | Jennifer Sobol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164043071 PECOS PAC ID: 2567811516 Enrollment ID: I20240124002046 |
| Provider Name | Alexandra Starmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619596822 PECOS PAC ID: 9436502556 Enrollment ID: I20240125000590 |
| Provider Name | Rachael Nguyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902479959 PECOS PAC ID: 3678926706 Enrollment ID: I20240125000776 |
| Provider Name | Leslie Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588082713 PECOS PAC ID: 2769835826 Enrollment ID: I20240125001890 |
| Provider Name | Lisa Gorman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457928707 PECOS PAC ID: 4284077454 Enrollment ID: I20240206000086 |
| Provider Name | Amanda Favretto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558812347 PECOS PAC ID: 4789035007 Enrollment ID: I20240206000120 |
| Provider Name | Ana Castro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669886792 PECOS PAC ID: 8628411790 Enrollment ID: I20240206000171 |
| Provider Name | Catherine Derys |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588157234 PECOS PAC ID: 6002284015 Enrollment ID: I20240206000245 |
| Provider Name | Miranda Brumber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447717202 PECOS PAC ID: 8123461290 Enrollment ID: I20240206000352 |
| Provider Name | Shannon Curry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669928669 PECOS PAC ID: 2567811490 Enrollment ID: I20240206000612 |
| Provider Name | Tiffany Berit Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902519614 PECOS PAC ID: 2163865221 Enrollment ID: I20240206003362 |
| Provider Name | Joy James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982879136 PECOS PAC ID: 0143492314 Enrollment ID: I20240206003915 |
| Provider Name | Fatima Maria Ng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922763085 PECOS PAC ID: 2264875236 Enrollment ID: I20240206004126 |
| Provider Name | Kaitlyn Ann Brady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184385163 PECOS PAC ID: 7214370287 Enrollment ID: I20240206004266 |
| Provider Name | Michelle C. Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386998136 PECOS PAC ID: 9830532829 Enrollment ID: I20240206004820 |
| Provider Name | Brittney Colf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487372405 PECOS PAC ID: 6406299403 Enrollment ID: I20240207000304 |
| Provider Name | Caitlin Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932556776 PECOS PAC ID: 6103104047 Enrollment ID: I20240207000565 |
| Provider Name | Mekayla Davila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205301439 PECOS PAC ID: 3375986201 Enrollment ID: I20240208000452 |
| Provider Name | Joseph Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477902328 PECOS PAC ID: 4880012285 Enrollment ID: I20240208000614 |
| Provider Name | Jessenia Aguirre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477906436 PECOS PAC ID: 9032593561 Enrollment ID: I20240208003374 |
| Provider Name | Nicole Estevez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376958702 PECOS PAC ID: 0941643027 Enrollment ID: I20240213003833 |
| Provider Name | Tami Ditkoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992285753 PECOS PAC ID: 0345684668 Enrollment ID: I20240214003596 |
| Provider Name | Jami Lynn Jacobson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326788753 PECOS PAC ID: 7113360710 Enrollment ID: I20240217000381 |
| Provider Name | Paula Wilt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043489982 PECOS PAC ID: 4880745249 Enrollment ID: I20240222003768 |
| Provider Name | Dominique Holley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639433360 PECOS PAC ID: 9335364116 Enrollment ID: I20240222003857 |
| Provider Name | Luna Sanchez Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942584776 PECOS PAC ID: 4183995418 Enrollment ID: I20240229002368 |
| Provider Name | Jenna Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598433682 PECOS PAC ID: 8628413507 Enrollment ID: I20240301000894 |
| Provider Name | Keesha Alexandra Barthelemy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811480247 PECOS PAC ID: 5395180111 Enrollment ID: I20240301002845 |
| Provider Name | Ahmed Valdes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558821488 PECOS PAC ID: 8820431794 Enrollment ID: I20240315002338 |
| Provider Name | Amy Prince |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407810526 PECOS PAC ID: 1557304060 Enrollment ID: I20240318002122 |
| Provider Name | Amanda Kerr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275896268 PECOS PAC ID: 4789975921 Enrollment ID: I20240320003533 |
| Provider Name | Richard Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730142365 PECOS PAC ID: 4880590140 Enrollment ID: I20240321000217 |
| Provider Name | Barbara Lampert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841200128 PECOS PAC ID: 8224931472 Enrollment ID: I20240321003617 |
| Provider Name | Julie Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578736898 PECOS PAC ID: 0244408292 Enrollment ID: I20240322001527 |
| Provider Name | Chad Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578927679 PECOS PAC ID: 2860730827 Enrollment ID: I20240329002123 |
| Provider Name | Andrew Wilbur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346773546 PECOS PAC ID: 5991076234 Enrollment ID: I20240401000353 |
| Provider Name | Harbir Sekhon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730271578 PECOS PAC ID: 5890933691 Enrollment ID: I20240402000409 |
| Provider Name | Tara M Merchant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982169074 PECOS PAC ID: 9739528621 Enrollment ID: I20240411001539 |
| Provider Name | Dorothy Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316454176 PECOS PAC ID: 3870961956 Enrollment ID: I20240411002530 |
| Provider Name | Felicitas Koster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295025005 PECOS PAC ID: 6305133158 Enrollment ID: I20240417001789 |
| Provider Name | Stephen Brogdon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275702136 PECOS PAC ID: 0345411401 Enrollment ID: I20240417003465 |
| Provider Name | Dorcas Adepoju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295947026 PECOS PAC ID: 4082802079 Enrollment ID: I20240419003499 |
| Provider Name | Jennifer Wygant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831628304 PECOS PAC ID: 1850669847 Enrollment ID: I20240507001801 |
| Provider Name | Katherine Vital-daley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619404688 PECOS PAC ID: 1759651250 Enrollment ID: I20240516003085 |
| Provider Name | Tammy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326699232 PECOS PAC ID: 6901247147 Enrollment ID: I20240517003676 |
| Provider Name | Blanca Osorio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962566166 PECOS PAC ID: 9133344047 Enrollment ID: I20240614000637 |
| Provider Name | Tara Monique Thompson Felix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053762468 PECOS PAC ID: 5395037170 Enrollment ID: I20240614001078 |
| Provider Name | America Calderon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629653035 PECOS PAC ID: 1355884685 Enrollment ID: I20240614002820 |
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 |