| Talkspace Provider Network Ca Pc | |
|
2578 Broadway # 607 New York NY 10025-5642 | |
| (212) 284-7206 | |
| Not Available |
| Full Name | Talkspace Provider Network Ca 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 Provider Network Ca Pc Po Box 659 Portsmouth NH 03802-0659 Ph: (212) 284-7206 | Talkspace Provider Network Ca Pc 2578 Broadway # 607 New York NY 10025-5642 Ph: (212) 284-7206 |
| NPI Number | 1003506866 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 7719339548 |
|---|---|
| Medicare Enrollment ID | O20240117003713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003506866 | NPI | - | NPPES |
| Provider Name | Bianca Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659623395 PECOS PAC ID: 4587964739 Enrollment ID: I20151119003081 |
| Provider Name | Ileana Gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699225565 PECOS PAC ID: 5395119226 Enrollment ID: I20230316000709 |
| Provider Name | Frankie Marie Morris-dadzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649886540 PECOS PAC ID: 2769857358 Enrollment ID: I20230413000404 |
| Provider Name | Migdalia Villafane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104044452 PECOS PAC ID: 6305201500 Enrollment ID: I20230421001994 |
| Provider Name | Therese L Schmoll |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386950210 PECOS PAC ID: 4789037946 Enrollment ID: I20240124003064 |
| Provider Name | John Kuek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447551353 PECOS PAC ID: 9234524059 Enrollment ID: I20240219001226 |
| Provider Name | Nikeisha Jn Parker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851684898 PECOS PAC ID: 6800248014 Enrollment ID: I20240307002354 |
| Provider Name | Asja Danielle Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144574799 PECOS PAC ID: 3274972823 Enrollment ID: I20240416003098 |
| Provider Name | Jennifer L Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154913614 PECOS PAC ID: 8022457373 Enrollment ID: I20240418003559 |
| Provider Name | Colter Lynn Diehl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447620117 PECOS PAC ID: 5496194417 Enrollment ID: I20240423002755 |
| Provider Name | Rebecca M Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700162732 PECOS PAC ID: 5799124749 Enrollment ID: I20240423003999 |
| Provider Name | Nichelle N Harton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700059318 PECOS PAC ID: 2860832854 Enrollment ID: I20240424001198 |
| Provider Name | Kristie Mclean |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578752820 PECOS PAC ID: 4688014525 Enrollment ID: I20240425002970 |
| Provider Name | Armando Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730662651 PECOS PAC ID: 8628418563 Enrollment ID: I20240425003172 |
| Provider Name | Jennifer Elizabeth Andrews |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508136631 PECOS PAC ID: 1850731555 Enrollment ID: I20240429001821 |
| Provider Name | Jill Kapil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033406723 PECOS PAC ID: 7315387040 Enrollment ID: I20240429002701 |
| Provider Name | Nahtanha P Marler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740829357 PECOS PAC ID: 9931549177 Enrollment ID: I20240503003333 |
| Provider Name | Kristi Lea Sanford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528461787 PECOS PAC ID: 7416397559 Enrollment ID: I20240506004279 |
| Provider Name | Connie Lynn Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700072782 PECOS PAC ID: 4587053194 Enrollment ID: I20240509000196 |
| Provider Name | Pamela E Soto Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861049041 PECOS PAC ID: 0749621308 Enrollment ID: I20240514001172 |
| Provider Name | Beverly Elander Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275291775 PECOS PAC ID: 7618318171 Enrollment ID: I20240515000691 |
| Provider Name | Leah Jean Szemborski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568955748 PECOS PAC ID: 3870934334 Enrollment ID: I20240515000795 |
| Provider Name | Deborah Denise Mcculley-buckley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710641188 PECOS PAC ID: 0749722825 Enrollment ID: I20240604003005 |
| Provider Name | Craig Nishioka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932808862 PECOS PAC ID: 8022456060 Enrollment ID: I20240606003049 |
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 |