| Memorial Psychiatry Group | |
|
1275 York Ave New York NY 10021-6007 | |
| (646) 227-3813 | |
| Not Available |
| Full Name | Memorial Psychiatry Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Salvatore M Andreozzi (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6462273751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Psychiatry Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Memorial Psychiatry Group 1275 York Ave New York NY 10021-6007 Ph: (646) 227-3813 |
| NPI Number | 1689645244 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 09/25/2007 |
| Medicare PECOS PAC ID | 2062301476 |
|---|---|
| Medicare Enrollment ID | O20040313000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689645244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Stephen A Sands |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548233604 PECOS PAC ID: 9335131606 Enrollment ID: I20040330001757 |
| Provider Name | Jennifer Sylene Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316918352 PECOS PAC ID: 1557352911 Enrollment ID: I20040524000711 |
| Provider Name | James C Root |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902856396 PECOS PAC ID: 1759363278 Enrollment ID: I20040607000956 |
| Provider Name | Abraham S Bartell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235100272 PECOS PAC ID: 3173583523 Enrollment ID: I20041012000300 |
| Provider Name | Christian J Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063453637 PECOS PAC ID: 0941214209 Enrollment ID: I20060126000230 |
| Provider Name | Rosetta M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407961386 PECOS PAC ID: 0840207171 Enrollment ID: I20060313000082 |
| Provider Name | Tim A Ahles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770660656 PECOS PAC ID: 9234154717 Enrollment ID: I20060504000996 |
| Provider Name | Gregory S Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194927863 PECOS PAC ID: 2466544853 Enrollment ID: I20070815000118 |
| Provider Name | Jeanne C Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962473900 PECOS PAC ID: 4880786060 Enrollment ID: I20070816000943 |
| Provider Name | Julia A Kearney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356533921 PECOS PAC ID: 2264529841 Enrollment ID: I20071029000578 |
| Provider Name | Andrew J Roth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669443453 PECOS PAC ID: 9931284619 Enrollment ID: I20080305000121 |
| Provider Name | Talia I Zaider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316197189 PECOS PAC ID: 8628139508 Enrollment ID: I20081210000694 |
| Provider Name | Philip A Bialer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851461198 PECOS PAC ID: 8224193743 Enrollment ID: I20090217000690 |
| Provider Name | Elizabeth L Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043357593 PECOS PAC ID: 6608933536 Enrollment ID: I20090320000428 |
| Provider Name | Wendy G Lichtenthal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508020041 PECOS PAC ID: 9335294750 Enrollment ID: I20090908000269 |
| Provider Name | Melissa L Ozga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174772362 PECOS PAC ID: 8224174586 Enrollment ID: I20090930000429 |
| Provider Name | Jeffrey B Freedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538100870 PECOS PAC ID: 7214061142 Enrollment ID: I20100814000000 |
| Provider Name | Madeleine E Fersh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114123973 PECOS PAC ID: 9537293386 Enrollment ID: I20100816000102 |
| Provider Name | Mary Jane Massie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992776652 PECOS PAC ID: 4880882414 Enrollment ID: I20101227000575 |
| Provider Name | Jennifer L Hay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134190176 PECOS PAC ID: 6709074073 Enrollment ID: I20101230000864 |
| Provider Name | Jamie Ostroff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538130299 PECOS PAC ID: 2860680154 Enrollment ID: I20101230001026 |
| Provider Name | William S Breitbart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134190911 PECOS PAC ID: 9537357736 Enrollment ID: I20110103000185 |
| Provider Name | Mathew N Doolittle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982814158 PECOS PAC ID: 8628251238 Enrollment ID: I20110318000779 |
| Provider Name | Xiomara D Rocha-cadman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033391966 PECOS PAC ID: 4880840560 Enrollment ID: I20120813000308 |
| Provider Name | Yesne Alici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699975938 PECOS PAC ID: 7911158050 Enrollment ID: I20121119000165 |
| Provider Name | Allison Applebaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932448891 PECOS PAC ID: 6305070830 Enrollment ID: I20131016000419 |
| Provider Name | Jessy Sarah Levin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801188156 PECOS PAC ID: 1658500939 Enrollment ID: I20140207000674 |
| Provider Name | Kelly M Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891994562 PECOS PAC ID: 1052591575 Enrollment ID: I20150407000381 |
| Provider Name | Rosario Costas-muniz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346653110 PECOS PAC ID: 0244559656 Enrollment ID: I20150513001711 |
| Provider Name | Afton P Bergel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346568334 PECOS PAC ID: 3577870302 Enrollment ID: I20150911000074 |
| Provider Name | Meredith E Macgregor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396987947 PECOS PAC ID: 1052621380 Enrollment ID: I20151117000612 |
| Provider Name | Erik H Bengtsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558636878 PECOS PAC ID: 7113225053 Enrollment ID: I20160411000682 |
| Provider Name | Patricia A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053402305 PECOS PAC ID: 1456644905 Enrollment ID: I20160721001804 |
| Provider Name | Alanna Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245524628 PECOS PAC ID: 9537448592 Enrollment ID: I20161115000096 |
| Provider Name | Marie E Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619426871 PECOS PAC ID: 2769767763 Enrollment ID: I20170313002226 |
| Provider Name | Emily Kantoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497293369 PECOS PAC ID: 3779860580 Enrollment ID: I20170504000667 |
| Provider Name | Mehak Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811285448 PECOS PAC ID: 9133406564 Enrollment ID: I20170511002000 |
| Provider Name | Diya Banerjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518345743 PECOS PAC ID: 7517236516 Enrollment ID: I20170707000484 |
| Provider Name | Andrew M Edelstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295093961 PECOS PAC ID: 7214186980 Enrollment ID: I20170920003730 |
| Provider Name | Deirdre M Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982064663 PECOS PAC ID: 6608136700 Enrollment ID: I20180212000211 |
| Provider Name | Monique C James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184915902 PECOS PAC ID: 2961633250 Enrollment ID: I20180829002198 |
| Provider Name | Lindsey Carey Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578929659 PECOS PAC ID: 6800149154 Enrollment ID: I20181102001089 |
| Provider Name | Chris S Kotsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295999787 PECOS PAC ID: 8729020359 Enrollment ID: I20190403001375 |
| Provider Name | Beth-anne Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891172227 PECOS PAC ID: 2961736202 Enrollment ID: I20190620001969 |
| Provider Name | Olufisayo Ifeoluwa Omotunde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033643879 PECOS PAC ID: 9436484623 Enrollment ID: I20190710002091 |
| Provider Name | Rebecca M Saracino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861853335 PECOS PAC ID: 5799015392 Enrollment ID: I20190925000398 |
| Provider Name | Martin S Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174576847 PECOS PAC ID: 4183668395 Enrollment ID: I20191030001100 |
| Provider Name | Starr Montalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770136152 PECOS PAC ID: 1052744323 Enrollment ID: I20191129000083 |
| Provider Name | Lisa M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194722421 PECOS PAC ID: 7810957701 Enrollment ID: I20191202001861 |
| Provider Name | Yasminda Downer-muse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831698042 PECOS PAC ID: 8628401775 Enrollment ID: I20191204001999 |
| Provider Name | Michael Rosenthal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336534734 PECOS PAC ID: 9931443108 Enrollment ID: I20191212002653 |
| Provider Name | Megan L Gilman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003256785 PECOS PAC ID: 1557655016 Enrollment ID: I20191217002398 |
| Provider Name | Amy E Allison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932459088 PECOS PAC ID: 8022262344 Enrollment ID: I20191227000694 |
| Provider Name | Maureen P Laffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538624119 PECOS PAC ID: 5294169843 Enrollment ID: I20200107002144 |
| Provider Name | Evans Rochaste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856596 PECOS PAC ID: 1052748027 Enrollment ID: I20200304000948 |
| Provider Name | Laura Cimini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831501659 PECOS PAC ID: 4082042478 Enrollment ID: I20200318001239 |
| Provider Name | Mark Philip Kurzrok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922461748 PECOS PAC ID: 1254746266 Enrollment ID: I20210224000683 |
| Provider Name | Rosemarie Cafone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104449255 PECOS PAC ID: 7214345214 Enrollment ID: I20210412001677 |
| Provider Name | Katherine Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861063620 PECOS PAC ID: 9335538453 Enrollment ID: I20211111001046 |
| Provider Name | Chi Yeung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083284996 PECOS PAC ID: 1658760343 Enrollment ID: I20211118001843 |
| Provider Name | Elena Youmans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528652401 PECOS PAC ID: 1254710593 Enrollment ID: I20220616002800 |
| Provider Name | Alice Y Luo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588191654 PECOS PAC ID: 5991172447 Enrollment ID: I20221114000489 |
| Provider Name | Charles W. Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053691535 PECOS PAC ID: 4385011840 Enrollment ID: I20221114000782 |
| Provider Name | Amanda H Balakirsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306517719 PECOS PAC ID: 0648643494 Enrollment ID: I20230227002072 |
| Provider Name | Christina M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689390148 PECOS PAC ID: 5395118418 Enrollment ID: I20230310000160 |
| Provider Name | Jae L Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063708188 PECOS PAC ID: 9133415722 Enrollment ID: I20231101003734 |
| Provider Name | Wendy A Marussich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316635956 PECOS PAC ID: 3072960186 Enrollment ID: I20231111000347 |
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