| Mn Psychological Services Pllc | |
|
2255 Cropsey Ave Brooklyn NY 11214-5705 | |
| (718) 221-5800 | |
| Not Available |
| Full Name | Mn Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2255 Cropsey Ave, Brooklyn, New York |
| Authorized Official Name and Position | Michael Nuccitelli (MEMBER) |
| Authorized Official Contact | 7182215800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mn Psychological Services Pllc 5705 Foster Ave Brooklyn NY 11234-1001 Ph: (718) 221-5800 | Mn Psychological Services Pllc 2255 Cropsey Ave Brooklyn NY 11214-5705 Ph: (718) 221-5800 |
| NPI Number | 1003381708 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 5294070165 |
|---|---|
| Medicare Enrollment ID | O20181220002077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003381708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Mitchell P Flaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346380425 PECOS PAC ID: 5496738742 Enrollment ID: I20040609000477 |
| Provider Name | Joseph Indelicato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811913791 PECOS PAC ID: 4183618952 Enrollment ID: I20040617001177 |
| Provider Name | Barbara Busillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952406480 PECOS PAC ID: 4981681715 Enrollment ID: I20040630000623 |
| Provider Name | Sara Berkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902847668 PECOS PAC ID: 1850338914 Enrollment ID: I20050411001198 |
| Provider Name | Patricia Tm Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124063276 PECOS PAC ID: 2466485453 Enrollment ID: I20050912000096 |
| Provider Name | Michael Nuccitelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740303940 PECOS PAC ID: 6406126994 Enrollment ID: I20170717000488 |
| Provider Name | Yitzchok D Wagshul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841769965 PECOS PAC ID: 4486991197 Enrollment ID: I20190201002445 |
| Provider Name | Jodi L Yaeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063717270 PECOS PAC ID: 9133447543 Enrollment ID: I20190828001253 |
| Provider Name | Rosalind A. Eaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336891233 PECOS PAC ID: 3577957778 Enrollment ID: I20220304001077 |
| Provider Name | Innocent A Obuah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053068866 PECOS PAC ID: 2163818816 Enrollment ID: I20220405001404 |
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