| Psychiatry On Video Llc | |
|
162 E Ridgewood Ave Ridgewood NJ 07450-3859 | |
| (201) 470-4006 | |
| (201) 917-7871 |
| Full Name | Psychiatry On Video Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 162 E Ridgewood Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Yissell Delvalle (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2014904075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry On Video Llc 6000 Washington St West New York NJ 07093-1420 Ph: (201) 490-4075 | Psychiatry On Video Llc 162 E Ridgewood Ave Ridgewood NJ 07450-3859 Ph: (201) 470-4006 |
| NPI Number | 1700532587 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 6800269432 |
|---|---|
| Medicare Enrollment ID | O20230302000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700532587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Yissell Delvalle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750585709 PECOS PAC ID: 8325131402 Enrollment ID: I20070905000682 |
| Provider Name | Ariel G Almacen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033257241 PECOS PAC ID: 8224193123 Enrollment ID: I20090210000050 |
| Provider Name | Omayra Ortiz |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1124068853 PECOS PAC ID: 3476573510 Enrollment ID: I20131011001556 |
| Provider Name | Andrea S Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710498068 PECOS PAC ID: 1052672375 Enrollment ID: I20180301002116 |
| Provider Name | Cassandra David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629536610 PECOS PAC ID: 2365831195 Enrollment ID: I20230123001394 |
| Provider Name | Kristina Way |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952020406 PECOS PAC ID: 0749645042 Enrollment ID: I20230420000115 |
| Provider Name | Katherine Anne Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215712229 PECOS PAC ID: 6305292723 Enrollment ID: I20231020002822 |
| Provider Name | John Edward Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649813973 PECOS PAC ID: 7012364698 Enrollment ID: I20231104000127 |
| Provider Name | Allison J Macfadyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952420010 PECOS PAC ID: 5991156275 Enrollment ID: I20240111000847 |
Emerge- The Counseling And Coaching Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450 Phone: 517-750-5755 | |
Reilly Therapy And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Beechwood Rd, Ridgewood, NJ 07450 Phone: 973-963-7733 | |
Psychcare Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Maple Ave, Suite 104, Ridgewood, NJ 07450 Phone: 201-444-8999 Fax: 201-934-3341 | |
Dr. James R. Cowan, Jr. M.d. P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 N Maple Ave, Ridgewood, NJ 07450 Phone: 201-670-4124 Fax: 201-670-4120 | |
James F Battaglia Psychology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Ridgewood Ave, Suite 3, Ridgewood, NJ 07450 Phone: 201-670-0222 | |
Pathways For Enhanced Living, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Dayton St, Ridgewood, NJ 07450 Phone: 201-445-3307 | |
Trinity Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 N Maple Ave Ste 101b, Ridgewood, NJ 07450 Phone: 551-250-1017 |