| Shellbrook Psychological Services, Pc | |
|
402 Linden St West Hempstead NY 11552-2515 | |
| (917) 676-5113 | |
| (561) 539-7990 |
| Full Name | Shellbrook Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 402 Linden St, West Hempstead, New York |
| Authorized Official Name and Position | Sheldon B Stern (PSYCHOLOGIST) |
| Authorized Official Contact | 6462207227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shellbrook Psychological Services, Pc 402 Linden St West Hempstead NY 11552-2515 Ph: (917) 676-5113 | Shellbrook Psychological Services, Pc 402 Linden St West Hempstead NY 11552-2515 Ph: (917) 676-5113 |
| NPI Number | 1417662107 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 0446615215 |
|---|---|
| Medicare Enrollment ID | O20230501000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417662107 | NPI | - | NPPES |
| 26482 | Medicaid | NY | |
| 26482 | Other | NY | DOH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Bracha J Sacks-stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679670335 PECOS PAC ID: 5496748246 Enrollment ID: I20040406001859 |
| Provider Name | Sheldon B Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710084470 PECOS PAC ID: 5395707509 Enrollment ID: I20041030000240 |
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