| The Fifth Avenue Counseling Center, Inc. | |
|
5 East 17 Street 2 Floor New York NY 10003 | |
| (212) 989-2990 | |
| (212) 792-6058 |
| Full Name | The Fifth Avenue Counseling Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5 East 17 Street, New York, New York |
| Authorized Official Name and Position | Yolanda Rivera (DIRECTOR OF BILLING AND OFFICE SERV) |
| Authorized Official Contact | 2129892990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Fifth Avenue Counseling Center, Inc. 5 East 17 Street 2 Floor New York NY 10003 Ph: (212) 989-2990 | The Fifth Avenue Counseling Center, Inc. 5 East 17 Street 2 Floor New York NY 10003 Ph: (212) 989-2990 |
| NPI Number | 1801037270 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 09/21/2018 |
| Medicare PECOS PAC ID | 9739246125 |
|---|---|
| Medicare Enrollment ID | O20090527000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801037270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6696001A (New York) | Primary |
| Provider Name | Alanna Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689605396 PECOS PAC ID: 8527022318 Enrollment ID: I20041111000987 |
| Provider Name | Christina C Asig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750346490 PECOS PAC ID: 9537170808 Enrollment ID: I20060530000019 |
| Provider Name | Richard J Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700820792 PECOS PAC ID: 2668549296 Enrollment ID: I20080924000419 |
| Provider Name | Lizabeth Rossiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376587360 PECOS PAC ID: 4082763776 Enrollment ID: I20090529000320 |
| Provider Name | Kenneth Hung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417115726 PECOS PAC ID: 4688837255 Enrollment ID: I20120517000371 |
| Provider Name | Maayan Tregerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366749145 PECOS PAC ID: 3870819089 Enrollment ID: I20150306000252 |
| Provider Name | Leslie Q Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407136765 PECOS PAC ID: 6103135058 Enrollment ID: I20151016000549 |
| Provider Name | Gaetano Scognamillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427330471 PECOS PAC ID: 2567772551 Enrollment ID: I20151103001914 |
| Provider Name | Christen Kidd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598057218 PECOS PAC ID: 2860794930 Enrollment ID: I20160106001185 |
| Provider Name | Brynn G Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134419591 PECOS PAC ID: 3577866755 Enrollment ID: I20160121001683 |
| Provider Name | Mindy H Chettih |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134435589 PECOS PAC ID: 9436449980 Enrollment ID: I20160613000672 |
| Provider Name | Nicholas Stamer Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285990960 PECOS PAC ID: 9032409529 Enrollment ID: I20160713002065 |
| Provider Name | Christopher A Lorraine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497005441 PECOS PAC ID: 2668750126 Enrollment ID: I20161103001394 |
| Provider Name | Danielle M Carpita |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346514767 PECOS PAC ID: 5395021240 Enrollment ID: I20170410000023 |
| Provider Name | Oliver L Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760772677 PECOS PAC ID: 8628346012 Enrollment ID: I20171113002309 |
| Provider Name | Jena Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043454580 PECOS PAC ID: 8921323411 Enrollment ID: I20180413000734 |
| Provider Name | Matthew Lee Dominguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609119353 PECOS PAC ID: 4981906351 Enrollment ID: I20180709002503 |
| Provider Name | Jennifer Szymaszek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245631134 PECOS PAC ID: 2860741865 Enrollment ID: I20180824001101 |
| Provider Name | Shin Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134581598 PECOS PAC ID: 8325392988 Enrollment ID: I20190926001036 |
| Provider Name | Zebib Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083001762 PECOS PAC ID: 2961756697 Enrollment ID: I20190926001274 |
| Provider Name | Rachel Freydin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336501618 PECOS PAC ID: 9436488731 Enrollment ID: I20191205000436 |
| Provider Name | Carolyn Grace Carapezzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467909820 PECOS PAC ID: 9436586187 Enrollment ID: I20200219001716 |
| Provider Name | Paula Bu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366973125 PECOS PAC ID: 4183978919 Enrollment ID: I20201104001424 |
| Provider Name | Daniel Brice Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861933061 PECOS PAC ID: 2163769415 Enrollment ID: I20210206000086 |
| Provider Name | Gladys Lai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487022190 PECOS PAC ID: 6608278270 Enrollment ID: I20210706002348 |
| Provider Name | Pierre Duleyrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043736374 PECOS PAC ID: 1951619394 Enrollment ID: I20210706002933 |
| Provider Name | Hannah Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043748825 PECOS PAC ID: 7517203573 Enrollment ID: I20210721001587 |
| Provider Name | Yuan Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356846026 PECOS PAC ID: 4981940848 Enrollment ID: I20210722002841 |
| Provider Name | Thomas Earl Maples |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780189589 PECOS PAC ID: 9032455993 Enrollment ID: I20210722003346 |
| Provider Name | Diana Bartlett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730610569 PECOS PAC ID: 1850636416 Enrollment ID: I20210726001775 |
| Provider Name | Ryan J Mather |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689105595 PECOS PAC ID: 6901150416 Enrollment ID: I20211112001255 |
| Provider Name | Marissa M Sampias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376048447 PECOS PAC ID: 9739425612 Enrollment ID: I20220106001057 |
| Provider Name | Molly Hereford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316430358 PECOS PAC ID: 2961884465 Enrollment ID: I20220801000082 |
| Provider Name | Eva Chernoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205397064 PECOS PAC ID: 2567839053 Enrollment ID: I20221114002031 |
| Provider Name | Larisa J Kupris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528583473 PECOS PAC ID: 7911374400 Enrollment ID: I20221114002047 |
| Provider Name | Amy Zagin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376184051 PECOS PAC ID: 3678941127 Enrollment ID: I20221115001191 |
| Provider Name | Peter D Chamberlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750886305 PECOS PAC ID: 4587901962 Enrollment ID: I20221117000461 |
| Provider Name | William Garrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487219622 PECOS PAC ID: 7315315629 Enrollment ID: I20221117001525 |
| Provider Name | Carter B Maness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275013443 PECOS PAC ID: 9032587134 Enrollment ID: I20221121002927 |
| Provider Name | Benjamin Shuham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063049443 PECOS PAC ID: 0345615951 Enrollment ID: I20230413001554 |
| Provider Name | Yaejin Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750910527 PECOS PAC ID: 6800227497 Enrollment ID: I20230824000276 |
| Provider Name | Bertrand Vulcain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134681018 PECOS PAC ID: 6204290257 Enrollment ID: I20230911001202 |
| Provider Name | Storm C. Portner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245867340 PECOS PAC ID: 9537517446 Enrollment ID: I20231201001918 |
| Provider Name | Evangeline Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134761844 PECOS PAC ID: 1557701612 Enrollment ID: I20240507000088 |
| Provider Name | Stephen T Smilowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053873935 PECOS PAC ID: 3375874779 Enrollment ID: I20240507000204 |
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 | |
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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 |