| Mcmh | |
|
160 W 86th St New York NY 10024-4018 | |
| (212) 362-8755 | |
| (212) 362-9451 |
| Full Name | Mcmh |
|---|---|
| Speciality | Psychologist |
| Location | 160 W 86th St, New York, New York |
| Authorized Official Name and Position | Robert Basile (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2123628755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmh 160 W 86th St New York NY 10024-4018 Ph: (212) 362-8755 | Mcmh 160 W 86th St New York NY 10024-4018 Ph: (212) 362-8755 |
| NPI Number | 1275695371 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 02/01/2018 |
| Medicare PECOS PAC ID | 6709798978 |
|---|---|
| Medicare Enrollment ID | O20031105000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275695371 | NPI | - | NPPES |
| 00244335 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 6722100A (New York) | Primary |
| Provider Name | Daniel E Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568494177 PECOS PAC ID: 1355232638 Enrollment ID: I20040324000893 |
| Provider Name | Katherine A Dent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679501175 PECOS PAC ID: 8921052630 Enrollment ID: I20050305000085 |
| Provider Name | Robert S Willinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770556789 PECOS PAC ID: 1355358797 Enrollment ID: I20060309000717 |
| Provider Name | Jonathan B Lauter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770501165 PECOS PAC ID: 1052316429 Enrollment ID: I20060919000385 |
| Provider Name | Rhonda J Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538259387 PECOS PAC ID: 0648374355 Enrollment ID: I20070404000517 |
| Provider Name | James Mcknight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215924030 PECOS PAC ID: 8921083940 Enrollment ID: I20070430000079 |
| Provider Name | Eva M. Goikuria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902954100 PECOS PAC ID: 4587751169 Enrollment ID: I20071029000629 |
| Provider Name | Allen I Prenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043418395 PECOS PAC ID: 7810078250 Enrollment ID: I20080111000269 |
| Provider Name | Norma G Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023106689 PECOS PAC ID: 4284693854 Enrollment ID: I20080430000880 |
| Provider Name | Rossanna Echegoyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447386370 PECOS PAC ID: 4789729757 Enrollment ID: I20100302000203 |
| Provider Name | Carlos D Bravo-gogny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528154671 PECOS PAC ID: 3870622103 Enrollment ID: I20100525001045 |
| Provider Name | Carlos A Campetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871674283 PECOS PAC ID: 8628108305 Enrollment ID: I20100607000085 |
| Provider Name | Marcia A Honigsztejn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497924641 PECOS PAC ID: 1658402201 Enrollment ID: I20100626000293 |
| Provider Name | Stacey C Braffett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215026679 PECOS PAC ID: 8022205277 Enrollment ID: I20101214000437 |
| Provider Name | Darwin Abreu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811217169 PECOS PAC ID: 5395925481 Enrollment ID: I20110207000617 |
| Provider Name | Gisela Bravo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952360091 PECOS PAC ID: 8527233238 Enrollment ID: I20111208000131 |
| Provider Name | Joachim A Benitez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114990330 PECOS PAC ID: 0648291344 Enrollment ID: I20111214000616 |
| Provider Name | Kaye A Arxcis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114204518 PECOS PAC ID: 6406013176 Enrollment ID: I20120208000253 |
| Provider Name | Anna K Costakis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023224870 PECOS PAC ID: 4082767124 Enrollment ID: I20130808000312 |
| Provider Name | Margarita Guergue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659662286 PECOS PAC ID: 3971734286 Enrollment ID: I20140331001521 |
| Provider Name | Stacy C King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891960019 PECOS PAC ID: 0941522650 Enrollment ID: I20141209000718 |
| Provider Name | Annette I Borenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558741330 PECOS PAC ID: 6507174489 Enrollment ID: I20150925000657 |
| Provider Name | Sofia Georgoulias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619217619 PECOS PAC ID: 8921303967 Enrollment ID: I20160229001788 |
| Provider Name | John I Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487019634 PECOS PAC ID: 5294033544 Enrollment ID: I20160419003008 |
| Provider Name | Caroline Astacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386884088 PECOS PAC ID: 3072812346 Enrollment ID: I20160509001767 |
| Provider Name | Ricardo Iglesias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245316926 PECOS PAC ID: 8921395922 Enrollment ID: I20160919002251 |
| Provider Name | Shoshanna Liben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699063305 PECOS PAC ID: 8729376462 Enrollment ID: I20161012000541 |
| Provider Name | Laura M Fizel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306167143 PECOS PAC ID: 8022398528 Enrollment ID: I20161129000611 |
| Provider Name | Marcia V Zorrilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497830343 PECOS PAC ID: 9830473743 Enrollment ID: I20170221001018 |
| Provider Name | Nicholas M Figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326301201 PECOS PAC ID: 8325323041 Enrollment ID: I20170321000926 |
| Provider Name | Maribel Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700194818 PECOS PAC ID: 6901175843 Enrollment ID: I20170707002021 |
| Provider Name | Cecile De Lardemelle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356885487 PECOS PAC ID: 6204192644 Enrollment ID: I20171117000852 |
| Provider Name | Jessica R Silver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306395835 PECOS PAC ID: 4385901388 Enrollment ID: I20171129002423 |
| Provider Name | Alba Ardila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982701876 PECOS PAC ID: 8921361908 Enrollment ID: I20180405000818 |
| Provider Name | Kabir Dandona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063920866 PECOS PAC ID: 1951657816 Enrollment ID: I20180706001323 |
| Provider Name | Jessica Marta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700385986 PECOS PAC ID: 6002162997 Enrollment ID: I20180706002389 |
| Provider Name | Christine A Lagrotta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659799641 PECOS PAC ID: 8123324407 Enrollment ID: I20181016000365 |
| Provider Name | Luca Gaetano Radomile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669036851 PECOS PAC ID: 4385979616 Enrollment ID: I20190709002715 |
| Provider Name | Faisal Yar Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710391552 PECOS PAC ID: 5597980508 Enrollment ID: I20190829000947 |
| Provider Name | Milka O Alcantara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629308853 PECOS PAC ID: 9032548581 Enrollment ID: I20200403000823 |
| Provider Name | Jessica L Shechter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265718985 PECOS PAC ID: 4486083755 Enrollment ID: I20200408000125 |
| Provider Name | Maria Paz Cuevas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750467635 PECOS PAC ID: 3971932245 Enrollment ID: I20200408000348 |
| Provider Name | Mariela J Solis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275099301 PECOS PAC ID: 4385073410 Enrollment ID: I20200410000716 |
| Provider Name | Cassandra Levi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740665355 PECOS PAC ID: 6608299698 Enrollment ID: I20200709001434 |
| Provider Name | David A Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528608031 PECOS PAC ID: 4183045107 Enrollment ID: I20200721002355 |
| Provider Name | Eric M Losada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114151495 PECOS PAC ID: 7012327042 Enrollment ID: I20201103002119 |
| Provider Name | Jamie F Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992220297 PECOS PAC ID: 2264844265 Enrollment ID: I20201216001407 |
| Provider Name | Kari R Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902357890 PECOS PAC ID: 2264845734 Enrollment ID: I20201231000700 |
| Provider Name | Claudia P Hinojosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548425507 PECOS PAC ID: 8820401763 Enrollment ID: I20210113001822 |
| Provider Name | Kerrigan P Hummel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306383948 PECOS PAC ID: 2668885328 Enrollment ID: I20210119002561 |
| Provider Name | Cayley E Kasten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649727009 PECOS PAC ID: 1254745839 Enrollment ID: I20210121001721 |
| Provider Name | Silvia J Franco Corso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922462076 PECOS PAC ID: 0749526028 Enrollment ID: I20210122000125 |
| Provider Name | Satin Zarkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063917565 PECOS PAC ID: 5193061976 Enrollment ID: I20210423002023 |
| Provider Name | Brittany Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366947616 PECOS PAC ID: 2668718784 Enrollment ID: I20210429002451 |
| Provider Name | Angelique S Caligiuri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659896504 PECOS PAC ID: 0941609747 Enrollment ID: I20210527001964 |
| Provider Name | Richard A Groll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255838199 PECOS PAC ID: 1456758473 Enrollment ID: I20210917001508 |
| Provider Name | Amy Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871974667 PECOS PAC ID: 4486052909 Enrollment ID: I20211013001204 |
| Provider Name | Chang Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477059277 PECOS PAC ID: 0446596761 Enrollment ID: I20211015001778 |
| Provider Name | Jade C Avery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487218772 PECOS PAC ID: 2567790025 Enrollment ID: I20211117000334 |
| Provider Name | Peter C Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003475229 PECOS PAC ID: 7012303431 Enrollment ID: I20220411001861 |
| Provider Name | Richard P Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942286901 PECOS PAC ID: 9830246297 Enrollment ID: I20220413001524 |
| Provider Name | Trenice Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522461 PECOS PAC ID: 4688999196 Enrollment ID: I20220503002316 |
| Provider Name | Jake S Dann-soury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346798717 PECOS PAC ID: 3971984659 Enrollment ID: I20220713002044 |
| Provider Name | Jennifer Ledesma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902415821 PECOS PAC ID: 9830567478 Enrollment ID: I20221201002056 |
| Provider Name | Megan T Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245736768 PECOS PAC ID: 2365789898 Enrollment ID: I20230106000304 |
| Provider Name | Christopher W Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194434746 PECOS PAC ID: 2264804145 Enrollment ID: I20230203000259 |
| Provider Name | Tomas Batista |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689990350 PECOS PAC ID: 4385081504 Enrollment ID: I20240325000527 |
| Provider Name | Meredith Cann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538640354 PECOS PAC ID: 2668819509 Enrollment ID: I20240327001336 |
| Provider Name | Jacqueline Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003552522 PECOS PAC ID: 5698112555 Enrollment ID: I20240327002045 |
| Provider Name | Natalie Rentas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225765217 PECOS PAC ID: 7911344882 Enrollment ID: I20240327002280 |
| Provider Name | Kenya Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649751215 PECOS PAC ID: 4688011562 Enrollment ID: I20240327002561 |
| Provider Name | Evita Colon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073949566 PECOS PAC ID: 2668819442 Enrollment ID: I20240328002588 |
| Provider Name | Bailey Pilant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558031963 PECOS PAC ID: 0244678035 Enrollment ID: I20240328003250 |
| Provider Name | Walker D Keenan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841797313 PECOS PAC ID: 3173860582 Enrollment ID: I20240329000164 |
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 |