| Park Slope Center For Mental Health, Inc | |
|
348 13th St Suite 203 Brooklyn NY 11215-5004 | |
| (718) 788-2461 | |
| (718) 788-8274 |
| Full Name | Park Slope Center For Mental Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 348 13th St, Brooklyn, New York |
| Authorized Official Name and Position | Milada Castoro (CFO) |
| Authorized Official Contact | 7187882461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Slope Center For Mental Health, Inc 348 13th St Suite 203 Brooklyn NY 11215-5004 Ph: (718) 788-2461 | Park Slope Center For Mental Health, Inc 348 13th St Suite 203 Brooklyn NY 11215-5004 Ph: (718) 788-2461 |
| NPI Number | 1851382188 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 04/17/2019 |
| Medicare PECOS PAC ID | 8224936455 |
|---|---|
| Medicare Enrollment ID | O20031226000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851382188 | NPI | - | NPPES |
| 01141097 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michael D Hargrove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336114115 PECOS PAC ID: 8527013986 Enrollment ID: I20050317001084 |
| Provider Name | Arthur C Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821057514 PECOS PAC ID: 8123073400 Enrollment ID: I20050318000926 |
| Provider Name | Essam S Yousef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649367699 PECOS PAC ID: 1052311412 Enrollment ID: I20081021000232 |
| Provider Name | Claudio M Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083762587 PECOS PAC ID: 9931269974 Enrollment ID: I20081120000111 |
| Provider Name | Polina Mariani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922157551 PECOS PAC ID: 0941359673 Enrollment ID: I20090528000469 |
| Provider Name | Helen M Reiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497956767 PECOS PAC ID: 6103015136 Enrollment ID: I20110106000685 |
| Provider Name | Douglas D Luce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326247024 PECOS PAC ID: 4183806862 Enrollment ID: I20110317000153 |
| Provider Name | Nicolas Du Mont |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881694420 PECOS PAC ID: 3779759709 Enrollment ID: I20111222000141 |
| Provider Name | Katherine Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114139698 PECOS PAC ID: 7719147925 Enrollment ID: I20120327000020 |
| Provider Name | Ihab I Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083876809 PECOS PAC ID: 9638308240 Enrollment ID: I20140130001759 |
| Provider Name | Ruben Montanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316992019 PECOS PAC ID: 4385611136 Enrollment ID: I20150114000804 |
| Provider Name | Farah Jean Philippe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083938674 PECOS PAC ID: 0547589079 Enrollment ID: I20150506000100 |
| Provider Name | Christine Kajetzke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043522998 PECOS PAC ID: 6709107691 Enrollment ID: I20150603002758 |
| Provider Name | Michelle L Puchon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154799054 PECOS PAC ID: 6305155698 Enrollment ID: I20151028000905 |
| Provider Name | Francesco A Ferrari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952629917 PECOS PAC ID: 3173829736 Enrollment ID: I20160308000241 |
| Provider Name | Jacqueline Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083971907 PECOS PAC ID: 3375840226 Enrollment ID: I20160321002253 |
| Provider Name | Jennifer C Lefever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255681292 PECOS PAC ID: 9537458583 Enrollment ID: I20160516001261 |
| Provider Name | Guillermo Valdes-montemayor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396028767 PECOS PAC ID: 9133404395 Enrollment ID: I20170330001799 |
| Provider Name | Jennae M Phillippe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700330164 PECOS PAC ID: 3678859873 Enrollment ID: I20170424000200 |
| Provider Name | Oliver L Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760772677 PECOS PAC ID: 8628346012 Enrollment ID: I20171113002309 |
| Provider Name | Steven L Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609025154 PECOS PAC ID: 7012268170 Enrollment ID: I20180928001571 |
| Provider Name | Danielle V Kurzweil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902262280 PECOS PAC ID: 1153673777 Enrollment ID: I20181010000923 |
| Provider Name | Abigail Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043669963 PECOS PAC ID: 2466746383 Enrollment ID: I20191030002487 |
| Provider Name | Diane Racz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477849545 PECOS PAC ID: 5294164885 Enrollment ID: I20200402001061 |
| Provider Name | Jose Gregorio Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194184242 PECOS PAC ID: 5991092660 Enrollment ID: I20200909002646 |
| Provider Name | Magalie M Payen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659711562 PECOS PAC ID: 0547403123 Enrollment ID: I20201010000012 |
| Provider Name | Nichole E Marques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518555135 PECOS PAC ID: 9436564739 Enrollment ID: I20210218002858 |
| Provider Name | Darian M Gier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013490432 PECOS PAC ID: 0840608154 Enrollment ID: I20210426000725 |
| Provider Name | Anthony S Pick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457753568 PECOS PAC ID: 6002216637 Enrollment ID: I20210617002708 |
| Provider Name | Elyssa B Moseley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881340313 PECOS PAC ID: 4082000468 Enrollment ID: I20220412001596 |
| Provider Name | Christopher M Roque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558696393 PECOS PAC ID: 2769856780 Enrollment ID: I20230314002949 |
| Provider Name | Samuel A Mahabadi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033842869 PECOS PAC ID: 9436514692 Enrollment ID: I20230424001737 |
| Provider Name | Greg Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386923191 PECOS PAC ID: 3072970144 Enrollment ID: I20230605002116 |
| Provider Name | Leah Pressman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851974695 PECOS PAC ID: 3476912726 Enrollment ID: I20230705000252 |
| Provider Name | Carly J Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114415015 PECOS PAC ID: 7810348042 Enrollment ID: I20240111002818 |
| Provider Name | Cheryl J Braverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104071554 PECOS PAC ID: 4981042744 Enrollment ID: I20240329002199 |
| Provider Name | Lillian E Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205519485 PECOS PAC ID: 7315387453 Enrollment ID: I20240506004320 |
St. Vincent's Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 66 Boerum Pl, Brooklyn, NY 11201 Phone: 718-422-2307 Fax: 718-422-2271 | |
Ccms Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Elm Pl Fl 2, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493 | |
Guidance Center Of Brooklyn Heights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Chapel St Fl 9, Brooklyn, NY 11201 Phone: 718-875-7510 Fax: 718-858-8410 | |
E. Twente, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Plaza St W, Apt 2-b, Brooklyn, NY 11217 Phone: 718-622-5796 | |
Akiva Management Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Surf Ave, Brooklyn, NY 11224 Phone: 718-444-5125 Fax: 718-444-1582 | |
Everyday Superheroes Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Schermerhorn St Ste 136, Brooklyn, NY 11201 Phone: 929-277-2550 | |
Community Counseling And Mediation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hoyt St, Seventh Floor, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493 |