| Upper Manhattan Mental Health Center, Inc. | |
|
1727 Amsterdam Ave New York NY 10031-4611 | |
| (212) 694-9200 | |
| (212) 368-5608 |
| Full Name | Upper Manhattan Mental Health Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1727 Amsterdam Ave, New York, New York |
| Authorized Official Name and Position | William Witherspoon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2126949200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Manhattan Mental Health Center, Inc. 1727 Amsterdam Ave New York NY 10031-4611 Ph: (212) 694-9200 | Upper Manhattan Mental Health Center, Inc. 1727 Amsterdam Ave New York NY 10031-4611 Ph: (212) 694-9200 |
| NPI Number | 1053335620 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/07/2013 |
| Medicare PECOS PAC ID | 5698669729 |
|---|---|
| Medicare Enrollment ID | O20040210000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053335620 | NPI | - | NPPES |
| 32481 | Other | NY | COMMUNITY PREMIER PLUS |
| 00997580 | Medicaid | NY | |
| 138894000 | Other | NY | MAGELLAN, HMO |
| 502650 | Other | NY | VALUE OPTIONS, HMO |
| 58P0551 | Other | NY | NEW PRESBYTERIAN HMO |
| 1060370 | Other | NY | AFFINITY, HMO |
| 01570314 | Medicaid | NY | |
| 000423458115 | Other | NY | HEALTH PLUS, HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael Navas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467724559 PECOS PAC ID: 1658366687 Enrollment ID: I20040419000463 |
| Provider Name | Sean F Fenton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417408329 PECOS PAC ID: 8820072960 Enrollment ID: I20040616000127 |
| Provider Name | Gail A Braxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942505177 PECOS PAC ID: 2567441637 Enrollment ID: I20040714000687 |
| Provider Name | Judith T Halbreich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437480530 PECOS PAC ID: 5698701589 Enrollment ID: I20050719000614 |
| Provider Name | Manuel O Mosquera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356368245 PECOS PAC ID: 8729010400 Enrollment ID: I20050901000664 |
| Provider Name | Elaine S Schechtel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669524427 PECOS PAC ID: 4688607120 Enrollment ID: I20050914001213 |
| Provider Name | Yvelyne Abellard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285734202 PECOS PAC ID: 2961419957 Enrollment ID: I20060316000161 |
| Provider Name | Raymond T Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861569014 PECOS PAC ID: 5698782407 Enrollment ID: I20060320000043 |
| Provider Name | Amelia Garcia-ochakovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144397514 PECOS PAC ID: 6507960549 Enrollment ID: I20070330000147 |
| Provider Name | Deepika Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023104965 PECOS PAC ID: 1153422704 Enrollment ID: I20070726000076 |
| Provider Name | Keith M Brackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275683732 PECOS PAC ID: 4789766221 Enrollment ID: I20080123000588 |
| Provider Name | Grace A Adepoju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922237163 PECOS PAC ID: 0749329274 Enrollment ID: I20091123000374 |
| Provider Name | Joseph E Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245309624 PECOS PAC ID: 2769376896 Enrollment ID: I20101115000431 |
| Provider Name | Ines M Mercedes-alcantara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629141239 PECOS PAC ID: 5496940496 Enrollment ID: I20101117000033 |
| Provider Name | Antoine R Pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265508725 PECOS PAC ID: 0648469429 Enrollment ID: I20110110000334 |
| Provider Name | Charles B Kellam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487721932 PECOS PAC ID: 4789865361 Enrollment ID: I20110302000565 |
| Provider Name | Eric G Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578735528 PECOS PAC ID: 1557510948 Enrollment ID: I20120928000128 |
| Provider Name | Mark Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649331364 PECOS PAC ID: 6800049172 Enrollment ID: I20130117000249 |
| Provider Name | Maria Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063679868 PECOS PAC ID: 3476782046 Enrollment ID: I20140130000565 |
| Provider Name | Alycia Y Cooksey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215482609 PECOS PAC ID: 6709149156 Enrollment ID: I20180417001387 |
| Provider Name | Virginia Statler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588726525 PECOS PAC ID: 5890049423 Enrollment ID: I20181116000910 |
| Provider Name | Salim El Sabbagh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538423116 PECOS PAC ID: 6507164514 Enrollment ID: I20190116001844 |
| Provider Name | Martin O Oviasogie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695091 PECOS PAC ID: 8224378427 Enrollment ID: I20190326002249 |
| Provider Name | Evens Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366986242 PECOS PAC ID: 9133493919 Enrollment ID: I20190409000959 |
| Provider Name | Enahka Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316331192 PECOS PAC ID: 2163764648 Enrollment ID: I20190502001744 |
| Provider Name | Linda C Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538176813 PECOS PAC ID: 8325024854 Enrollment ID: I20210212002247 |
| Provider Name | Shumaia F Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295266062 PECOS PAC ID: 5496164998 Enrollment ID: I20210513001966 |
| Provider Name | Yanet De La Cruz-webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700217197 PECOS PAC ID: 9436568805 Enrollment ID: I20210514002062 |
| Provider Name | Jorge A Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379674 PECOS PAC ID: 4385910074 Enrollment ID: I20210527002776 |
| Provider Name | Julia Nourok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942729181 PECOS PAC ID: 4486055993 Enrollment ID: I20210622001102 |
| Provider Name | Lynette M Miller-volel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699849109 PECOS PAC ID: 1052709763 Enrollment ID: I20211029001709 |
| Provider Name | Jeffery W Belford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972057834 PECOS PAC ID: 8325437197 Enrollment ID: I20211116003192 |
| Provider Name | Nancy M Eichengreen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487008744 PECOS PAC ID: 5890188825 Enrollment ID: I20220215000953 |
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 | |
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