| Talkspace Provider Network Pa | |
|
2578 Broadway # 607 New York NY 10025-5642 | |
| (212) 284-7206 | |
| Not Available |
| Full Name | Talkspace Provider Network Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2578 Broadway # 607, New York, New York |
| Authorized Official Name and Position | Varun Choudhary (PRESIDENT) |
| 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 Pa Po Box 659 Portsmouth NH 03802-0659 Ph: (212) 284-7206 | Talkspace Provider Network Pa 2578 Broadway # 607 New York NY 10025-5642 Ph: (212) 284-7206 |
| NPI Number | 1639814049 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 5799136701 |
|---|---|
| Medicare Enrollment ID | O20240103004110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639814049 | NPI | - | NPPES |
| Provider Name | Rene Garcell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356580724 PECOS PAC ID: 4789709155 Enrollment ID: I20100909000687 |
| Provider Name | Aureau Walding Gregrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306981204 PECOS PAC ID: 7810092780 Enrollment ID: I20111003000591 |
| Provider Name | Melvin H Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881031516 PECOS PAC ID: 6709176316 Enrollment ID: I20160609000484 |
| Provider Name | Krystal Boza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801206388 PECOS PAC ID: 0143509695 Enrollment ID: I20161128001442 |
| Provider Name | Susan Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326586603 PECOS PAC ID: 7517243769 Enrollment ID: I20170424002235 |
| Provider Name | Martha Kinman Fay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316109838 PECOS PAC ID: 6800202284 Enrollment ID: I20210309003262 |
| Provider Name | Magalie Marcellus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942536743 PECOS PAC ID: 0749688331 Enrollment ID: I20211026001497 |
| Provider Name | Cristina Farah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770124554 PECOS PAC ID: 3173983517 Enrollment ID: I20230718001153 |
| Provider Name | Cynthia Menard Clinton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225548118 PECOS PAC ID: 7719330513 Enrollment ID: I20240129001618 |
| Provider Name | Angela M Towne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629338215 PECOS PAC ID: 1850734377 Enrollment ID: I20240212001808 |
| Provider Name | Katie Elizabeth Landrum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407272545 PECOS PAC ID: 7911343058 Enrollment ID: I20240311003582 |
| Provider Name | Christopher Dewhurst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326744095 PECOS PAC ID: 1456798255 Enrollment ID: I20240327004067 |
| Provider Name | Margaret Fowee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760713499 PECOS PAC ID: 9537507348 Enrollment ID: I20240328004050 |
| Provider Name | Linda Kay Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427116557 PECOS PAC ID: 9537507033 Enrollment ID: I20240403001247 |
| Provider Name | Linda Sinnott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982834917 PECOS PAC ID: 7517305733 Enrollment ID: I20240409000071 |
| Provider Name | Ivanna D Reyes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588114169 PECOS PAC ID: 1557701547 Enrollment ID: I20240424001375 |
| Provider Name | Marc H Garson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376964585 PECOS PAC ID: 4688892508 Enrollment ID: I20240517001859 |
| Provider Name | Chad Billington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568978468 PECOS PAC ID: 6204292659 Enrollment ID: I20240604001188 |
| Provider Name | Kevin Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710356811 PECOS PAC ID: 6002358017 Enrollment ID: I20240605003663 |
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 |