Shiloh Consulting Llc | |
566 7th Ave Fl 4 New York NY 10018-1802 | |
(212) 564-7631 | |
(212) 564-7819 |
Full Name | Shiloh Consulting Llc |
---|---|
Speciality | Psychologist |
Location | 566 7th Ave Fl 4, New York, New York |
Authorized Official Name and Position | Kay E Jackson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2125647631 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shiloh Consulting Llc 566 7th Ave Fl 4 New York NY 10018-1802 Ph: (212) 564-7631 | Shiloh Consulting Llc 566 7th Ave Fl 4 New York NY 10018-1802 Ph: (212) 564-7631 |
NPI Number | 1659500577 |
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Provider Enumeration Date | 07/13/2009 |
Last Update Date | 08/02/2023 |
Certification Date | 08/02/2023 |
Medicare PECOS PAC ID | 2062675887 |
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Medicare Enrollment ID | O20120515000258 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659500577 | NPI | - | NPPES |
02966163 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0200X | Psychologist - Forensic | 012747-1 (New York) | Primary |
Provider Name | Kay E Jackson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417127945 PECOS PAC ID: 8224162516 Enrollment ID: I20100823000885 |
Provider Name | Desmond Heath |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194974287 PECOS PAC ID: 2365755931 Enrollment ID: I20150727000087 |
Provider Name | Elizabeth Dania |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851578363 PECOS PAC ID: 3274800180 Enrollment ID: I20170525000239 |
Provider Name | Jessica N Steele |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043673452 PECOS PAC ID: 5799050563 Enrollment ID: I20171004000817 |
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