| Mary Johnson, | |
|
1240 Walton Ave Apt 205, Bronx, NY 10452-8004 | |
| (646) 899-5481 | |
| Not Available |
| Full Name | Mary Johnson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1240 Walton Ave Apt 205, Bronx, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386315059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Senior Care Therapy Lcsw Of New York Pllc | 7113269010 | 63 |
| Che Senior Psychological Services, Pc | 8022905314 | 227 |
| Entity Name | Che Senior Psychological Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429 |
| Entity Name | Knapp Street Psychiatry, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760 |
| Entity Name | Open Door Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285893719 PECOS PAC ID: 7113835380 Enrollment ID: O20150224001267 |
| Entity Name | Senior Care Therapy LCSW of New York PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932677168 PECOS PAC ID: 7113269010 Enrollment ID: O20190424002784 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Johnson, 1240 Walton Ave Apt 205, Bronx, NY 10452-8004 Ph: (646) 899-5481 | Mary Johnson, 1240 Walton Ave Apt 205, Bronx, NY 10452-8004 Ph: (646) 899-5481 |
Nivea C. Ocasio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5676 Riverdale Ave, Ste 202, Bronx, NY 10471 Phone: 718-796-5300 Fax: 718-548-1161 |
Mr. Dennis Ortiz Sr., CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Waters Pl, Bronx, NY 10461 Phone: 718-409-9420 Fax: 718-828-4899 |
Mrs. Becky Allen, BA, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 East 138th Street, Room 32 Albert Einsein Wellness Center, Bronx, NY 10454 Phone: 718-665-7500 Fax: 718-665-4768 |
Mr. Jose Angel Rodriguez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 East 161st, C/o Montefiore, Bronx, NY 10451 Phone: 718-410-3561 Fax: 718-410-3629 |
Timothy Lenear Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2488 Grand Concrs, Bronx, NY 10458 Phone: 718-584-7204 Fax: 718-584-8394 |
Katrina Edwards, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Macombs Rd, Bronx, NY 10452 Phone: 718-299-3300 |
Kristina Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011a Washington Ave, Bronx, NY 10456 Phone: 718-764-5131 |