| St. Mark's Place Institute For Mental Health, Inc | |
|
57 Saint Marks Pl New York NY 10003-7902 | |
| (212) 982-3470 | |
| (212) 477-0521 |
| Full Name | St. Mark's Place Institute For Mental Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 57 Saint Marks Pl, New York, New York |
| Authorized Official Name and Position | Roman Pabis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2129823470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mark's Place Institute For Mental Health, Inc 57 Saint Marks Pl New York NY 10003-7902 Ph: (212) 982-3470 | St. Mark's Place Institute For Mental Health, Inc 57 Saint Marks Pl New York NY 10003-7902 Ph: (212) 982-3470 |
| NPI Number | 1396783049 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 4688565740 |
|---|---|
| Medicare Enrollment ID | O20040320000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396783049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7574100A (New York) | Primary |
| Provider Name | Giovanny M Nunez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760426118 PECOS PAC ID: 3476588203 Enrollment ID: I20050930000077 |
| Provider Name | Veesha Tomashevsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477565877 PECOS PAC ID: 1658385281 Enrollment ID: I20060202000489 |
| Provider Name | Gary Shrader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972526820 PECOS PAC ID: 6709896012 Enrollment ID: I20060502000328 |
| Provider Name | Niezar Muntasser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487775755 PECOS PAC ID: 4284715624 Enrollment ID: I20080111000253 |
| Provider Name | Asuncion Neri-candelaria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013011758 PECOS PAC ID: 1557440161 Enrollment ID: I20080508000084 |
| Provider Name | Lorna Stabile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417981721 PECOS PAC ID: 3375616485 Enrollment ID: I20080723000436 |
| Provider Name | Maryann Y Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831169051 PECOS PAC ID: 8224192778 Enrollment ID: I20090127000653 |
| Provider Name | Daniel Bernatowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811122971 PECOS PAC ID: 5496906422 Enrollment ID: I20121121000224 |
| Provider Name | Mark Rybakov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295037620 PECOS PAC ID: 3779753942 Enrollment ID: I20130220000206 |
| Provider Name | Dagmara Halyno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275717159 PECOS PAC ID: 2860626769 Enrollment ID: I20131009000009 |
| Provider Name | Marina Litvinova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538385984 PECOS PAC ID: 5092931725 Enrollment ID: I20140801000192 |
| Provider Name | Matthew Roman Pabis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376981589 PECOS PAC ID: 6204111032 Enrollment ID: I20170317001669 |
| Provider Name | Fran Siegal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982766457 PECOS PAC ID: 3870919111 Enrollment ID: I20200817002674 |
| Provider Name | Caroline O'sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689280166 PECOS PAC ID: 6204240344 Enrollment ID: I20210201000596 |
| Provider Name | Maia Khubashvili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982961033 PECOS PAC ID: 4183088362 Enrollment ID: I20230907001774 |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
Mary E Genkins Dsw Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E 63rd St, Apt 12l, New York, NY 10065 Phone: 212-838-9257 Fax: 212-207-6615 | |
Rethink Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 21st Street, Suite 403, New York, NY 10010 Phone: 917-658-6313 | |
The Heart Collaboration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 5th Ave, Suite 900, New York, NY 10011 Phone: 212-947-7111 |