| Talkspace Behavioral Health Services Nj, Pc | |
|
2578 Broadway # 607 New York NY 10025-5642 | |
| (212) 284-7206 | |
| Not Available |
| Full Name | Talkspace Behavioral Health Services Nj, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2578 Broadway # 607, New York, New York |
| Authorized Official Name and Position | Varun Choudhary (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2122847206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talkspace Behavioral Health Services Nj, Pc Po Box 659 Portsmouth NH 03802-0659 Ph: (212) 284-7206 | Talkspace Behavioral Health Services Nj, Pc 2578 Broadway # 607 New York NY 10025-5642 Ph: (212) 284-7206 |
| NPI Number | 1346020112 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 6709225451 |
|---|---|
| Medicare Enrollment ID | O20240415003169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346020112 | NPI | - | NPPES |
| Provider Name | Hadley A Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043697725 PECOS PAC ID: 3173587961 Enrollment ID: I20041111000978 |
| Provider Name | Doreen Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851776124 PECOS PAC ID: 1658660188 Enrollment ID: I20160523001225 |
| Provider Name | Matthew Pordes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720229909 PECOS PAC ID: 3577716323 Enrollment ID: I20200326003858 |
| Provider Name | Jeffrey Thoelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508444977 PECOS PAC ID: 2769881317 Enrollment ID: I20210602000050 |
| Provider Name | David Solomon Gruskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699439554 PECOS PAC ID: 4385033794 Enrollment ID: I20211105000015 |
| Provider Name | Genevieve Tufaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609382530 PECOS PAC ID: 6800138959 Enrollment ID: I20240418003383 |
| Provider Name | Austin Giltus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033547930 PECOS PAC ID: 0749621068 Enrollment ID: I20240516003195 |
| Provider Name | Nancy Jean Vail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942729447 PECOS PAC ID: 9638511686 Enrollment ID: I20240522003913 |
| Provider Name | Daphney Mary Rene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538309091 PECOS PAC ID: 0042609679 Enrollment ID: I20240606002678 |
| Provider Name | Amanda Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942996186 PECOS PAC ID: 0648713057 Enrollment ID: I20240613002108 |
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