| The Gender & Sexuality Therapy Center | |
|
850 7th Ave Ste 1106 New York NY 10019-0029 | |
| (646) 797-4340 | |
| (646) 205-8239 |
| Full Name | The Gender & Sexuality Therapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 7th Ave Ste 1106, New York, New York |
| Authorized Official Name and Position | Jesse Kahn (DIRECTOR) |
| Authorized Official Contact | 6467974340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gender & Sexuality Therapy Center 850 7th Ave Ste 1106 New York NY 10019-0029 Ph: (646) 797-4340 | The Gender & Sexuality Therapy Center 850 7th Ave Ste 1106 New York NY 10019-0029 Ph: (646) 797-4340 |
| NPI Number | 1396260980 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/23/2020 |
| Medicare PECOS PAC ID | 3476961319 |
|---|---|
| Medicare Enrollment ID | O20210414001853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396260980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 085142 (New York) | Primary |
| Provider Name | Jesse Kahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427464676 PECOS PAC ID: 5193134534 Enrollment ID: I20210514000788 |
| Provider Name | James Vining |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336585363 PECOS PAC ID: 7012319973 Enrollment ID: I20210714002661 |
| Provider Name | Nicole E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366621302 PECOS PAC ID: 8426408774 Enrollment ID: I20231228001690 |
| Provider Name | Alexandra Askenazi Marcus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982248332 PECOS PAC ID: 7618419987 Enrollment ID: I20240603002550 |
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