| Knapp Street Psychiatry, Pc | |
| 
					2433 Knapp St Ste 306 Brooklyn NY 11235-1005  | |
| (888) 515-3834 | |
| (855) 688-6746 | 
| Full Name | Knapp Street Psychiatry, Pc | 
|---|---|
| Speciality | Psychologist | 
| Location | 2433 Knapp St Ste 306, Brooklyn, New York | 
| Authorized Official Name and Position | Larry Durlofsky (OWNER) | 
| Authorized Official Contact | 8885153834 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Knapp Street Psychiatry, Pc Po Box 68048 Newark NJ 07101-8085 Ph: (888) 515-3834  | Knapp Street Psychiatry, Pc 2433 Knapp St Ste 306 Brooklyn NY 11235-1005 Ph: (888) 515-3834  | 
| NPI Number | 1043248776 | 
|---|---|
| Provider Enumeration Date | 06/29/2006 | 
| Last Update Date | 01/13/2025 | 
| Certification Date | 01/02/2025 | 
| Medicare PECOS PAC ID | 1153212998 | 
|---|---|
| Medicare Enrollment ID | O20040322001760 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043248776 | NPI | - | NPPES | 
| Provider Name | Aspasia Papadaki | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1245281021 PECOS PAC ID: 8325935026 Enrollment ID: I20040227000889  | 
| Provider Name | Andiea Hedayat Harris | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1104042431 PECOS PAC ID: 2567354582 Enrollment ID: I20040325001259  | 
| Provider Name | Jaime Fernando Franco | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1902973084 PECOS PAC ID: 9133011877 Enrollment ID: I20040326000976  | 
| Provider Name | Christine M Weber | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1831165984 PECOS PAC ID: 8224020771 Enrollment ID: I20040402000432  | 
| Provider Name | Carla E Paganelli | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1194864215 PECOS PAC ID: 8820081219 Enrollment ID: I20040402001412  | 
| Provider Name | David P Eckert | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1912995341 PECOS PAC ID: 7416945746 Enrollment ID: I20040504001521  | 
| Provider Name | Darcey Anne Dicostanzo | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1497399828 PECOS PAC ID: 1658369764 Enrollment ID: I20040505001193  | 
| Provider Name | Andrea Ruth Rosenhaft | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1710149679 PECOS PAC ID: 9234128893 Enrollment ID: I20040510000037  | 
| Provider Name | Barbara Ann Shultz | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1215041447 PECOS PAC ID: 8224029442 Enrollment ID: I20040518001143  | 
| Provider Name | Kathleen Grambling | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1285642686 PECOS PAC ID: 9830170760 Enrollment ID: I20040526001610  | 
| Provider Name | Simone Lishka | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1760402531 PECOS PAC ID: 1254314636 Enrollment ID: I20040608000490  | 
| Provider Name | Cheryl Thomas | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1699729871 PECOS PAC ID: 3476539354 Enrollment ID: I20040629001707  | 
| Provider Name | Mickaelle M Dougherty | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1477756492 PECOS PAC ID: 1951388636 Enrollment ID: I20040630001016  | 
| Provider Name | Jacqueline M Santoro | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1962595264 PECOS PAC ID: 9931187416 Enrollment ID: I20040712000071  | 
| Provider Name | Irene T Sack | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1457373680 PECOS PAC ID: 5799764585 Enrollment ID: I20040715000782  | 
| Provider Name | Mayra Ortiz | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1194731844 PECOS PAC ID: 5698754190 Enrollment ID: I20040719000118  | 
| Provider Name | Denise Fortino | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1063545911 PECOS PAC ID: 7911972559 Enrollment ID: I20040827000834  | 
| Provider Name | Suzanne M Kalten | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1104840727 PECOS PAC ID: 2769451947 Enrollment ID: I20040927000110  | 
| Provider Name | Howard Bernstein | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1073538203 PECOS PAC ID: 4789643750 Enrollment ID: I20041005001313  | 
| Provider Name | Shirley Parnell | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306388384 PECOS PAC ID: 1456311612 Enrollment ID: I20041013000420  | 
| Provider Name | Joan L Roth | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1265489611 PECOS PAC ID: 6305800871 Enrollment ID: I20041115000713  | 
| Provider Name | Karyn Sweeney Conboy | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1821103391 PECOS PAC ID: 5799740866 Enrollment ID: I20041130001066  | 
| Provider Name | Robin L James | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1780740621 PECOS PAC ID: 2163470188 Enrollment ID: I20050106000578  | 
| Provider Name | Douglas Seiden | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1326161316 PECOS PAC ID: 6901857978 Enrollment ID: I20050207000928  | 
| Provider Name | Jennifer A Weber | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1952400954 PECOS PAC ID: 7810941333 Enrollment ID: I20050308000930  | 
| Provider Name | Dawn Maria Lotter-griffin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1275671075 PECOS PAC ID: 7214982586 Enrollment ID: I20050318000858  | 
| Provider Name | Antony Mendola | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1093754210 PECOS PAC ID: 2466409396 Enrollment ID: I20050404000430  | 
| Provider Name | Lucille C Larney | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1932151024 PECOS PAC ID: 0143260638 Enrollment ID: I20050504000309  | 
| Provider Name | Ira Landau | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1598972812 PECOS PAC ID: 5294789327 Enrollment ID: I20050510000233  | 
| Provider Name | Elisa M Liker | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1780694828 PECOS PAC ID: 3678500360 Enrollment ID: I20050725000733  | 
| Provider Name | Jeremy D Smith | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1629011952 PECOS PAC ID: 4082642327 Enrollment ID: I20050728000896  | 
| Provider Name | Catherine Connolly | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1073651519 PECOS PAC ID: 7618902206 Enrollment ID: I20051003000488  | 
| Provider Name | Shari L Bernstein | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1760556591 PECOS PAC ID: 9931125242 Enrollment ID: I20051017000436  | 
| Provider Name | Robert S Steiner | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1659396414 PECOS PAC ID: 7113944406 Enrollment ID: I20051026000601  | 
| Provider Name | Eleni Marcantonis | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1740234004 PECOS PAC ID: 4486676467 Enrollment ID: I20051220000183  | 
| Provider Name | Jack A Schapiro | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1578579140 PECOS PAC ID: 9638192552 Enrollment ID: I20060106000158  | 
| Provider Name | Evens Lafontant | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1083624035 PECOS PAC ID: 1254355449 Enrollment ID: I20060113000676  | 
| Provider Name | Dana Bush | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1174640668 PECOS PAC ID: 2668486713 Enrollment ID: I20060127000758  | 
| Provider Name | Irina Vakhnyanskaya | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1285663963 PECOS PAC ID: 0941214829 Enrollment ID: I20060131000075  | 
| Provider Name | Angela V Dais | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1598715708 PECOS PAC ID: 3375553274 Enrollment ID: I20060421000195  | 
| Provider Name | Steven A Yellin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1558317735 PECOS PAC ID: 3274545223 Enrollment ID: I20060613000042  | 
| Provider Name | Robert W Figlerski | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1427001650 PECOS PAC ID: 6507878295 Enrollment ID: I20060621000073  | 
| Provider Name | Ajit R Mundra | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1740225507 PECOS PAC ID: 8729082243 Enrollment ID: I20060914000040  | 
| Provider Name | Johna Pointek | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1467403105 PECOS PAC ID: 9133125784 Enrollment ID: I20061004000683  | 
| Provider Name | Karen Remson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1538194022 PECOS PAC ID: 0941220578 Enrollment ID: I20061014000001  | 
| Provider Name | Olivia S Chiang | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1811910177 PECOS PAC ID: 2264433457 Enrollment ID: I20070131000426  | 
| Provider Name | Keith Gonsor | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1497822787 PECOS PAC ID: 6800898735 Enrollment ID: I20070212000593  | 
| Provider Name | Dan L Epstein | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1568664217 PECOS PAC ID: 3577663145 Enrollment ID: I20070711000719  | 
| Provider Name | Howard J Camp | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1770697385 PECOS PAC ID: 9537253588 Enrollment ID: I20070920000735  | 
| Provider Name | Mary Barker | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1285816967 PECOS PAC ID: 3870683501 Enrollment ID: I20071219000276  | 
| Provider Name | Suzanne Hirsch | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1205985538 PECOS PAC ID: 9931299419 Enrollment ID: I20071220000464  | 
| Provider Name | Myling Sumanti | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1699873794 PECOS PAC ID: 3072693100 Enrollment ID: I20080102000415  | 
| Provider Name | Kimberly Holt | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1255401931 PECOS PAC ID: 1557441250 Enrollment ID: I20080108000320  | 
| Provider Name | Martin Edelman | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1487679577 PECOS PAC ID: 3971688938 Enrollment ID: I20080314000389  | 
| Provider Name | Patricia Kummel | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1689844953 PECOS PAC ID: 1850477811 Enrollment ID: I20080401000125  | 
| Provider Name | Oneida Burgos | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1528127339 PECOS PAC ID: 9830268150 Enrollment ID: I20080513000249  | 
| Provider Name | Nancy J Amanatides | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1821260993 PECOS PAC ID: 7416028220 Enrollment ID: I20080623000448  | 
| Provider Name | Joanne Shea | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1669494886 PECOS PAC ID: 8527133529 Enrollment ID: I20080826000080  | 
| Provider Name | Vicki D Mayo | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1851301980 PECOS PAC ID: 1951464908 Enrollment ID: I20090116000427  | 
| Provider Name | Rebecca Merenda | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1659554228 PECOS PAC ID: 1850457656 Enrollment ID: I20090303000476  | 
| Provider Name | Daisy L Salvia | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1619118585 PECOS PAC ID: 8325195308 Enrollment ID: I20090408000400  | 
| Provider Name | Charise M Copes | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1144462854 PECOS PAC ID: 5890842827 Enrollment ID: I20090409000159  | 
| Provider Name | Christine Piecora | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1700958642 PECOS PAC ID: 4587716014 Enrollment ID: I20090715000080  | 
| Provider Name | Linda Tafapolsky | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1174778997 PECOS PAC ID: 9830241033 Enrollment ID: I20090720000237  | 
| Provider Name | Manju Pradhan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1720122120 PECOS PAC ID: 1254491467 Enrollment ID: I20090728000422  | 
| Provider Name | Sara L Davis-conway | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1962633727 PECOS PAC ID: 8325192180 Enrollment ID: I20090813000682  | 
| Provider Name | Stephanie Ocallaghan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1467685164 PECOS PAC ID: 1153477369 Enrollment ID: I20090914000049  | 
| Provider Name | Parsla Vintere | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1588897144 PECOS PAC ID: 8628116969 Enrollment ID: I20091106000470  | 
| Provider Name | Christi L Wright | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1326107459 PECOS PAC ID: 9335288612 Enrollment ID: I20091125000570  | 
| Provider Name | Elena M Goldstein | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1649500653 PECOS PAC ID: 6800939687 Enrollment ID: I20100202000216  | 
| Provider Name | Gary Shereshevsky | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1477877199 PECOS PAC ID: 3173652393 Enrollment ID: I20100527000043  | 
| Provider Name | Alan D Stillman | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1235152067 PECOS PAC ID: 4284765512 Enrollment ID: I20100630000024  | 
| Provider Name | Yevgenia Mastyayeva | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1194814756 PECOS PAC ID: 1355475294 Enrollment ID: I20100814000223  | 
| Provider Name | Keziah Kallarakal | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1629393194 PECOS PAC ID: 5799809422 Enrollment ID: I20100901000260  | 
| Provider Name | Josephine Loiacono-donovan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1083770929 PECOS PAC ID: 1658496708 Enrollment ID: I20100914000449  | 
| Provider Name | Laura J Beecher | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1881794576 PECOS PAC ID: 2567656978 Enrollment ID: I20101029000924  | 
| Provider Name | Caroline F Borden | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1699884759 PECOS PAC ID: 3779777057 Enrollment ID: I20101101000221  | 
| Provider Name | Jill Backfield | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1073601761 PECOS PAC ID: 6406041318 Enrollment ID: I20101117000271  | 
| Provider Name | Judy C Hwang | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1104081850 PECOS PAC ID: 7012103872 Enrollment ID: I20101119000377  | 
| Provider Name | Annegret J Brown Anderson | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1366479735 PECOS PAC ID: 9234325341 Enrollment ID: I20101130001346  | 
| Provider Name | Margarita B Adelsky | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1043512221 PECOS PAC ID: 7517156235 Enrollment ID: I20110112000243  | 
| Provider Name | Nina Paquin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1508168097 PECOS PAC ID: 0345422705 Enrollment ID: I20110307001029  | 
| Provider Name | Bennett Joseph Cohen | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1306890066 PECOS PAC ID: 6204018401 Enrollment ID: I20110309000537  | 
| Provider Name | Janet M Solomon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1184929382 PECOS PAC ID: 1658555164 Enrollment ID: I20110407000420  | 
| Provider Name | Janet Ohare | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1740590603 PECOS PAC ID: 4981889755 Enrollment ID: I20110421000553  | 
| Provider Name | Nancy E Hillery Lucas | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1861721706 PECOS PAC ID: 5799962098 Enrollment ID: I20110615000007  | 
| Provider Name | Kathoucha J Edouard | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1124208715 PECOS PAC ID: 8325219595 Enrollment ID: I20110920000080  | 
| Provider Name | Hilary J Luttinger | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1710261235 PECOS PAC ID: 1254503089 Enrollment ID: I20111020000217  | 
| Provider Name | Elizabeth A Mchugh | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1245514645 PECOS PAC ID: 6406028281 Enrollment ID: I20111021000058  | 
| Provider Name | Lauren M Schneider-machin | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1578522264 PECOS PAC ID: 0941473078 Enrollment ID: I20111104000263  | 
| Provider Name | Patricia Ann Dauer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1740240233 PECOS PAC ID: 2365615283 Enrollment ID: I20111109000133  | 
| Provider Name | Carol S Lempel | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1346301587 PECOS PAC ID: 8628242427 Enrollment ID: I20111112000000  | 
| Provider Name | Sharon A Gerbracht | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1366598930 PECOS PAC ID: 6406020833 Enrollment ID: I20111122000291  | 
| Provider Name | Howard Y Leibovitch | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1891885224 PECOS PAC ID: 7719153428 Enrollment ID: I20111230000279  | 
| Provider Name | Neil A Berger | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1710055108 PECOS PAC ID: 0042487746 Enrollment ID: I20120120000481  | 
| Provider Name | Jared S Jerome | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1255600383 PECOS PAC ID: 2466619176 Enrollment ID: I20120208000685  | 
| Provider Name | Frances R Schweitzer | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1508877135 PECOS PAC ID: 8921267105 Enrollment ID: I20120307000476  | 
| Provider Name | Iris C Cohen | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1093991630 PECOS PAC ID: 9133389364 Enrollment ID: I20120327000204  | 
| Provider Name | Amy Bensen | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1265574107 PECOS PAC ID: 3870755119 Enrollment ID: I20120502000174  | 
| Provider Name | Giuseppe M Sottile | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1972862720 PECOS PAC ID: 9931139730 Enrollment ID: I20120523000088  | 
| Provider Name | Majorie B Cooper-nicols | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1497827380 PECOS PAC ID: 1052575370 Enrollment ID: I20120615000417  | 
| Provider Name | Susan J Bily-lindner | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1003992843 PECOS PAC ID: 3476719089 Enrollment ID: I20120726000424  | 
| Provider Name | Karen P Bruce | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043569692 PECOS PAC ID: 4789834318 Enrollment ID: I20121017000355  | 
| Provider Name | Josephine J Tang | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1356688089 PECOS PAC ID: 9436394053 Enrollment ID: I20130401000335  | 
| Provider Name | Christine A Sweeney | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1710231683 PECOS PAC ID: 0941449607 Enrollment ID: I20130611000015  | 
| Provider Name | Fran Gross | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1417235086 PECOS PAC ID: 2062654304 Enrollment ID: I20130815000446  | 
| Provider Name | Nyasanu A Barbee | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1194046714 PECOS PAC ID: 0840433025 Enrollment ID: I20130909000354  | 
| Provider Name | Roxanne Gonzalez Mcgivney | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1275715328 PECOS PAC ID: 3274767660 Enrollment ID: I20131018001308  | 
| Provider Name | Jennifer Jee-roytman | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1578990834 PECOS PAC ID: 4981830908 Enrollment ID: I20131122000467  | 
| Provider Name | Laurie B Goldfarb | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1417378522 PECOS PAC ID: 0244468395 Enrollment ID: I20140116001431  | 
| Provider Name | Cristina J Mauro | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1063837532 PECOS PAC ID: 7113158502 Enrollment ID: I20140328000020  | 
| Provider Name | Melinda Jimenez | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1780998591 PECOS PAC ID: 4284866013 Enrollment ID: I20140410000451  | 
| Provider Name | Sarah P Elfstrom | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1235566183 PECOS PAC ID: 4587887443 Enrollment ID: I20140521001569  | 
| Provider Name | Jennifer E Faulknor | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1053508044 PECOS PAC ID: 0648494583 Enrollment ID: I20140616000058  | 
| Provider Name | Nicole Petzolt | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1063836500 PECOS PAC ID: 5395960132 Enrollment ID: I20140710001480  | 
| Provider Name | Sandra Kaelin | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1962838300 PECOS PAC ID: 2466678198 Enrollment ID: I20140801000113  | 
| Provider Name | Kristel Carrington | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1487914404 PECOS PAC ID: 3678794997 Enrollment ID: I20141029001697  | 
| Provider Name | Antonia Busack | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1841555703 PECOS PAC ID: 7719109990 Enrollment ID: I20141104002187  | 
| Provider Name | Kimberly R Lieber-diaz | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1235573544 PECOS PAC ID: 4082937396 Enrollment ID: I20141217001818  | 
| Provider Name | Heli Apelbaum | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1891857314 PECOS PAC ID: 9537263256 Enrollment ID: I20141223001559  | 
| Provider Name | Darlene Laura Powell Garlington | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1124046651 PECOS PAC ID: 3375546476 Enrollment ID: I20141231001077  | 
| Provider Name | Claudia R Viggiano | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1720484843 PECOS PAC ID: 7618291378 Enrollment ID: I20150220000310  | 
| Provider Name | Lorelle R Futterweit | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1275930075 PECOS PAC ID: 6608192877 Enrollment ID: I20150305001242  | 
| Provider Name | Mark Steven Eluto | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1720288657 PECOS PAC ID: 1254658347 Enrollment ID: I20150331000196  | 
| Provider Name | Felicia Y Robinson Fiorillo | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1831304187 PECOS PAC ID: 9032437157 Enrollment ID: I20150421000866  | 
| Provider Name | Rachel Leiderman | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1447418868 PECOS PAC ID: 4880913714 Enrollment ID: I20150428000067  | 
| Provider Name | Steven R Antman | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1508188327 PECOS PAC ID: 4082927587 Enrollment ID: I20150713001636  | 
| Provider Name | Amalia Per | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124353438 PECOS PAC ID: 6608180427 Enrollment ID: I20150806010649  | 
| Provider Name | Armin Kelleter | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1801171723 PECOS PAC ID: 8426363904 Enrollment ID: I20150812007982  | 
| Provider Name | Anna Satalino | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1104206051 PECOS PAC ID: 4284949041 Enrollment ID: I20150824000458  | 
| Provider Name | Michelle Chavkin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1265814636 PECOS PAC ID: 4284940792 Enrollment ID: I20150828001686  | 
| Provider Name | Jennifer Bair | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013287333 PECOS PAC ID: 4082923065 Enrollment ID: I20151013001378  | 
| Provider Name | Benjamin P Schafler | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1144599259 PECOS PAC ID: 4183927262 Enrollment ID: I20160122002122  | 
| Provider Name | Hope Cantrell Mowery | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1881824100 PECOS PAC ID: 7810291770 Enrollment ID: I20160212001767  | 
| Provider Name | Sofia Georgoulias | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1619217619 PECOS PAC ID: 8921303967 Enrollment ID: I20160229001788  | 
| Provider Name | Kimberly Marla Blau | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1265896245 PECOS PAC ID: 2961792502 Enrollment ID: I20160609001560  | 
| Provider Name | Lisa Connors | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1275944373 PECOS PAC ID: 4789974346 Enrollment ID: I20160609002288  | 
| Provider Name | Parry Hess | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1851747364 PECOS PAC ID: 6901198555 Enrollment ID: I20160630000946  | 
| Provider Name | Steven H Lipsky | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1891928628 PECOS PAC ID: 7618263971 Enrollment ID: I20160913000819  | 
| Provider Name | Philippe Kz Bah | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174071740 PECOS PAC ID: 7113206590 Enrollment ID: I20161108002223  | 
| Provider Name | Jorja Redway | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1710385570 PECOS PAC ID: 0143500314 Enrollment ID: I20161205000946  | 
| Provider Name | Anthony Mullin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1508235672 PECOS PAC ID: 2466735030 Enrollment ID: I20170206000024  | 
| Provider Name | Aryela Janine Swope Levy | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1841470226 PECOS PAC ID: 4284917881 Enrollment ID: I20170206000841  | 
| Provider Name | David Rodriguez | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1538221569 PECOS PAC ID: 2163705419 Enrollment ID: I20170210000700  | 
| Provider Name | Caroline Frankenberger | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1508170960 PECOS PAC ID: 2466735303 Enrollment ID: I20170220001021  | 
| Provider Name | Terry Williams | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1073751434 PECOS PAC ID: 1658655311 Enrollment ID: I20170227000078  | 
| Provider Name | Angela Angelis | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1366980732 PECOS PAC ID: 6800171893 Enrollment ID: I20170313001612  | 
| Provider Name | Louis Muggeo | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1891235354 PECOS PAC ID: 7214212547 Enrollment ID: I20170328001965  | 
| Provider Name | Gila Hartstein | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1235359910 PECOS PAC ID: 3173809043 Enrollment ID: I20170406002050  | 
| Provider Name | Carolyn Ryan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1336516020 PECOS PAC ID: 7719263268 Enrollment ID: I20170417001647  | 
| Provider Name | Meredith A Dooley | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1528188000 PECOS PAC ID: 8426335357 Enrollment ID: I20170503000167  | 
| Provider Name | Brenda Munroe | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1992084933 PECOS PAC ID: 7214214162 Enrollment ID: I20170503000803  | 
| Provider Name | Peter Rosan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1033435201 PECOS PAC ID: 2961772454 Enrollment ID: I20170717000430  | 
| Provider Name | Bill Rene Meritet | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1245277862 PECOS PAC ID: 5092726174 Enrollment ID: I20170717002112  | 
| Provider Name | Noreen Bridget Digiose | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1235648742 PECOS PAC ID: 2466728720 Enrollment ID: I20171101001036  | 
| Provider Name | Shahrin Ghuznavi | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1891149605 PECOS PAC ID: 6103183637 Enrollment ID: I20171207002744  | 
| Provider Name | Rachel Postupack | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1013420520 PECOS PAC ID: 9830457746 Enrollment ID: I20171226001739  | 
| Provider Name | Yuriy Bychkiv | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1396051272 PECOS PAC ID: 7618236332 Enrollment ID: I20180125000905  | 
| Provider Name | James Ernest Bozinos | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1750881827 PECOS PAC ID: 3072875772 Enrollment ID: I20180316000701  | 
| Provider Name | Barbara J Brennan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1710410410 PECOS PAC ID: 5890059992 Enrollment ID: I20180425001514  | 
| Provider Name | Renee Capell | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1992233217 PECOS PAC ID: 1951665603 Enrollment ID: I20180503001741  | 
| Provider Name | Dorothy Mueller | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1992816490 PECOS PAC ID: 0143228296 Enrollment ID: I20180508000394  | 
| Provider Name | Evelyn Athena Kolidas | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1124516448 PECOS PAC ID: 6305100843 Enrollment ID: I20180508002723  | 
| Provider Name | Elisa M Vega | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1093024408 PECOS PAC ID: 4981969979 Enrollment ID: I20180522000997  | 
| Provider Name | Deborah Conyers | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1942574900 PECOS PAC ID: 4688939291 Enrollment ID: I20180601001044  | 
| Provider Name | Jacqueline Carol Hill | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1669963658 PECOS PAC ID: 0547515694 Enrollment ID: I20180614000632  | 
| Provider Name | Stephanie R Mewhinney | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1902233190 PECOS PAC ID: 5496001083 Enrollment ID: I20180712001312  | 
| Provider Name | Maria Savino | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1932320587 PECOS PAC ID: 1456608322 Enrollment ID: I20180724000838  | 
| Provider Name | Shannon Woods | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225514623 PECOS PAC ID: 1052661360 Enrollment ID: I20180907000889  | 
| Provider Name | Andrena N Barnes | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972893261 PECOS PAC ID: 8527318435 Enrollment ID: I20180913001108  | 
| Provider Name | Stephen Gaylord | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1679800809 PECOS PAC ID: 4587915194 Enrollment ID: I20180920002195  | 
| Provider Name | Peter Darrow Bishop | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1871528034 PECOS PAC ID: 3971596495 Enrollment ID: I20181004000607  | 
| Provider Name | Uloaku Nwoke | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013451343 PECOS PAC ID: 4981956661 Enrollment ID: I20181008001433  | 
| Provider Name | Bonnie J. Floyd | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1780624890 PECOS PAC ID: 0345139317 Enrollment ID: I20181016003560  | 
| Provider Name | Bethany D Burke | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1033480157 PECOS PAC ID: 2860744984 Enrollment ID: I20181017002343  | 
| Provider Name | Marc Steinmetz | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1801349733 PECOS PAC ID: 2062765639 Enrollment ID: I20181029001477  | 
| Provider Name | Lisa Brody | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1356823918 PECOS PAC ID: 9537413745 Enrollment ID: I20181106002561  | 
| Provider Name | Daria Diakonova-curtis | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1861709297 PECOS PAC ID: 1850635103 Enrollment ID: I20181128000231  | 
| Provider Name | Deborah Matthews | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1578838512 PECOS PAC ID: 4587954151 Enrollment ID: I20181214001849  | 
| Provider Name | Caitlin E Conroy | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1538643275 PECOS PAC ID: 3678818739 Enrollment ID: I20181218000521  | 
| Provider Name | Kenya Tremane Humphries | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1548305899 PECOS PAC ID: 8820333958 Enrollment ID: I20181218003346  | 
| Provider Name | Liana Diamond | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1356812333 PECOS PAC ID: 4183960800 Enrollment ID: I20190116002160  | 
| Provider Name | Katherine Noreen Johnson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1598797235 PECOS PAC ID: 2567709975 Enrollment ID: I20190123002479  | 
| Provider Name | Benjamin N. Cohen | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1558315812 PECOS PAC ID: 6002851656 Enrollment ID: I20190202000122  | 
| Provider Name | Charles Malcolm Mcfall | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1396057295 PECOS PAC ID: 6901145648 Enrollment ID: I20190225002173  | 
| Provider Name | Javier I Gil-ceballos | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1417465121 PECOS PAC ID: 3173862307 Enrollment ID: I20190305001655  | 
| Provider Name | Sebrina Henderson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235530395 PECOS PAC ID: 5092037432 Enrollment ID: I20190307001526  | 
| Provider Name | Andrea Heiss | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1699215285 PECOS PAC ID: 7517207798 Enrollment ID: I20190326001690  | 
| Provider Name | Jose Ricardo Velarde | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1588760755 PECOS PAC ID: 9234129461 Enrollment ID: I20190416001939  | 
| Provider Name | Nichole Leahna Adams | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1871771790 PECOS PAC ID: 9032450200 Enrollment ID: I20190416002875  | 
| Provider Name | Ross Michael Vanderklok | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1902369291 PECOS PAC ID: 4880937093 Enrollment ID: I20190509002098  | 
| Provider Name | Dana Gottesman | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1669038675 PECOS PAC ID: 7315270840 Enrollment ID: I20190614001061  | 
| Provider Name | Desiree Angel Leboeuf | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1588999460 PECOS PAC ID: 8628302023 Enrollment ID: I20190618002671  | 
| Provider Name | Adriana Farley Restrepo | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1275978462 PECOS PAC ID: 1951623446 Enrollment ID: I20190716002567  | 
| Provider Name | Laura L Ghose | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013285410 PECOS PAC ID: 5092044537 Enrollment ID: I20190910000844  | 
| Provider Name | Ariel Tzvi Hochster | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1326534637 PECOS PAC ID: 4284964792 Enrollment ID: I20190926001170  | 
| Provider Name | Victor A Amobi | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356532386 PECOS PAC ID: 2163768334 Enrollment ID: I20191126002108  | 
| Provider Name | Sandra Beaudouin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023667243 PECOS PAC ID: 3971937830 Enrollment ID: I20191231000545  | 
| Provider Name | Larry Durlofsky | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1720169188 PECOS PAC ID: 8527088731 Enrollment ID: I20191231001128  | 
| Provider Name | Joshua Romero | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1427526649 PECOS PAC ID: 2365870102 Enrollment ID: I20200310001554  | 
| Provider Name | Diana S Klebanoff | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1639718620 PECOS PAC ID: 0446688006 Enrollment ID: I20200312001384  | 
| Provider Name | Michael Joseph Infranco | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1417436619 PECOS PAC ID: 4183052418 Enrollment ID: I20200319000907  | 
| Provider Name | Elena S Benjamin | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1467652313 PECOS PAC ID: 5496183410 Enrollment ID: I20200325000547  | 
| Provider Name | Anne Marie N Norberto | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1619114642 PECOS PAC ID: 4385073964 Enrollment ID: I20200402000575  | 
| Provider Name | Montgomery Lyons | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1124500285 PECOS PAC ID: 6103255724 Enrollment ID: I20200402002668  | 
| Provider Name | Virginia Wei-cheng Lee | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1740706472 PECOS PAC ID: 3173946191 Enrollment ID: I20200709002637  | 
| Provider Name | Anna Kazakova | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386902690 PECOS PAC ID: 6507284080 Enrollment ID: I20200915002824  | 
| Provider Name | Carmelina Peralta | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1912057597 PECOS PAC ID: 3577983709 Enrollment ID: I20201008003178  | 
| Provider Name | Marianna Zara Grennan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013188390 PECOS PAC ID: 2264852995 Enrollment ID: I20201020000680  | 
| Provider Name | Emmanuel Bioh | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1326455692 PECOS PAC ID: 4688094279 Enrollment ID: I20201020003894  | 
| Provider Name | Margarite Soh-choe | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134747769 PECOS PAC ID: 1355751421 Enrollment ID: I20201030000004  | 
| Provider Name | Melissa Sable | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1063662120 PECOS PAC ID: 9234549247 Enrollment ID: I20201103001481  | 
| Provider Name | Monique Bryant | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1487048120 PECOS PAC ID: 8628480670 Enrollment ID: I20201215002488  | 
| Provider Name | Michael Earl Zwirblia | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1144821497 PECOS PAC ID: 5193137081 Enrollment ID: I20201217002168  | 
| Provider Name | Liz T Donald | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1447245295 PECOS PAC ID: 5698703502 Enrollment ID: I20201221001381  | 
| Provider Name | Deborah Lifschitz | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1730501404 PECOS PAC ID: 2466865522 Enrollment ID: I20210108001598  | 
| Provider Name | Henry Sayre | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1912546953 PECOS PAC ID: 0648684860 Enrollment ID: I20210129002334  | 
| Provider Name | Karlene Clarke | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1508198128 PECOS PAC ID: 1355756982 Enrollment ID: I20210212001001  | 
| Provider Name | Daniel Lowenstein | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1871903021 PECOS PAC ID: 9436458494 Enrollment ID: I20210218000521  | 
| Provider Name | Katherine Carey Carnicelli | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1851981906 PECOS PAC ID: 6608281506 Enrollment ID: I20210225002648  | 
| Provider Name | Mary Ann Moore | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1770197766 PECOS PAC ID: 8123434016 Enrollment ID: I20210301000742  | 
| Provider Name | Angelamaria Johanna Riedi | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1174110084 PECOS PAC ID: 3870909450 Enrollment ID: I20210305000401  | 
| Provider Name | Raymond Edwin Suarez | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1255538245 PECOS PAC ID: 9436334786 Enrollment ID: I20210312000485  | 
| Provider Name | Tracy Riley | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1679762553 PECOS PAC ID: 0143446773 Enrollment ID: I20210318001109  | 
| Provider Name | Lydia Amalia Ignacio | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1235774506 PECOS PAC ID: 3870900756 Enrollment ID: I20210319000790  | 
| Provider Name | Jennifer Vetter | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1093105355 PECOS PAC ID: 6002223815 Enrollment ID: I20210323001585  | 
| Provider Name | Gregg Nardo | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1609961689 PECOS PAC ID: 1052663267 Enrollment ID: I20210329000048  | 
| Provider Name | Falisia A Cotten | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1225459555 PECOS PAC ID: 8426460023 Enrollment ID: I20210405000475  | 
| Provider Name | Aaron Alexander Bruce | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1083947634 PECOS PAC ID: 8527475839 Enrollment ID: I20210405000949  | 
| Provider Name | Wendy J Alfaro | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1467087353 PECOS PAC ID: 7113327537 Enrollment ID: I20210607001727  | 
| Provider Name | Lucia Ohuche | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1235646449 PECOS PAC ID: 8729488002 Enrollment ID: I20210608001111  | 
| Provider Name | Chanel M Freeman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679822191 PECOS PAC ID: 3476953480 Enrollment ID: I20210614001079  | 
| Provider Name | Tinamarie Brown-joseph | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1881170116 PECOS PAC ID: 3375943103 Enrollment ID: I20210615002704  | 
| Provider Name | Carmisha Nicole Moore | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1811572456 PECOS PAC ID: 4082014501 Enrollment ID: I20210621000721  | 
| Provider Name | Rafelina Baez | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1558778126 PECOS PAC ID: 4082014519 Enrollment ID: I20210621001166  | 
| Provider Name | Michael Hellman | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1649446816 PECOS PAC ID: 3274934609 Enrollment ID: I20210623001565  | 
| Provider Name | Chaim Yacov Tarshish | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1831775337 PECOS PAC ID: 2365843539 Enrollment ID: I20210624002933  | 
| Provider Name | Agnes Marie Gambale | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1225283443 PECOS PAC ID: 3476954025 Enrollment ID: I20210702000816  | 
| Provider Name | Stacy F Messmer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1790074920 PECOS PAC ID: 9638571698 Enrollment ID: I20210713002642  | 
| Provider Name | Michelle-lee E Senecal-hunt | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1376719468 PECOS PAC ID: 6204239692 Enrollment ID: I20210722002180  | 
| Provider Name | Genna Hanan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1326290933 PECOS PAC ID: 4082019682 Enrollment ID: I20210819002591  | 
| Provider Name | Lisa C Diamond | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20210819002597  | 
| Provider Name | Camille Lowe-davis | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1164025268 PECOS PAC ID: 7517362114 Enrollment ID: I20210819002656  | 
| Provider Name | Tatiana Michel | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1265765036 PECOS PAC ID: 2062817661 Enrollment ID: I20210819002677  | 
| Provider Name | Michael Paul Mcbrearty | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1790842946 PECOS PAC ID: 5395142129 Enrollment ID: I20210922000198  | 
| Provider Name | Ellen S Takher | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1164860458 PECOS PAC ID: 0446548648 Enrollment ID: I20210922001940  | 
| Provider Name | Ginestra De Simone | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306135199 PECOS PAC ID: 0244637841 Enrollment ID: I20210924000493  | 
| Provider Name | Briana Nicole Freeman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245811181 PECOS PAC ID: 2163829771 Enrollment ID: I20210924000936  | 
| Provider Name | Elizabeth R Mayer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1770661654 PECOS PAC ID: 3375940760 Enrollment ID: I20210928002052  | 
| Provider Name | Holly Lynn Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912674292 PECOS PAC ID: 5496153413 Enrollment ID: I20211006000135  | 
| Provider Name | Karen Frances Dublin | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1972879310 PECOS PAC ID: 1355749821 Enrollment ID: I20211013003333  | 
| Provider Name | Momoko Takanashi-buerle | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1053972943 PECOS PAC ID: 0345638110 Enrollment ID: I20211027002165  | 
| Provider Name | Andriy Yuryev | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1649527755 PECOS PAC ID: 9234527730 Enrollment ID: I20211103000903  | 
| Provider Name | Laura Kathir | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750758314 PECOS PAC ID: 6204137250 Enrollment ID: I20211118002271  | 
| Provider Name | David Petersen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225497894 PECOS PAC ID: 5496051351 Enrollment ID: I20211119000992  | 
| Provider Name | Tracy Murphy | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1003255449 PECOS PAC ID: 7012315534 Enrollment ID: I20211126000059  | 
| Provider Name | Shagufta Asar | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1871979526 PECOS PAC ID: 5395135255 Enrollment ID: I20211208001240  | 
| Provider Name | Melissa A Stickle | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1730844044 PECOS PAC ID: 5294162871 Enrollment ID: I20211215001673  | 
| Provider Name | Miguel Anthony Rodriguez | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1609236405 PECOS PAC ID: 7012308240 Enrollment ID: I20211227000545  | 
| Provider Name | Ashley Gray | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1902367592 PECOS PAC ID: 8325430986 Enrollment ID: I20220112000709  | 
| Provider Name | Henrietta Long-hall | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1467848127 PECOS PAC ID: 8628460565 Enrollment ID: I20220126001546  | 
| Provider Name | Mary Ellen Mulligan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1134873128 PECOS PAC ID: 3375938277 Enrollment ID: I20220310002521  | 
| Provider Name | Shirley Hurlburt | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1043619661 PECOS PAC ID: 1951796861 Enrollment ID: I20220311000227  | 
| Provider Name | Jennifer Wertovitch | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1538799010 PECOS PAC ID: 6305232158 Enrollment ID: I20220405001092  | 
| Provider Name | Marita Kershaw | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013413491 PECOS PAC ID: 8820485063 Enrollment ID: I20220418002436  | 
| Provider Name | Stephanie Londin | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306419759 PECOS PAC ID: 4981091774 Enrollment ID: I20220426000983  | 
| Provider Name | Lauri Ann Balter | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1538818125 PECOS PAC ID: 1456748276 Enrollment ID: I20220426002486  | 
| Provider Name | Careen S Chang | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1467003509 PECOS PAC ID: 9830420348 Enrollment ID: I20220427001225  | 
| Provider Name | Caroline Sawyer | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1053066001 PECOS PAC ID: 2961898903 Enrollment ID: I20220502000766  | 
| Provider Name | Alexandra Katchmar | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1508423906 PECOS PAC ID: 0446637979 Enrollment ID: I20220521000276  | 
| Provider Name | Marina Davydov | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013658798 PECOS PAC ID: 9638556111 Enrollment ID: I20220523002024  | 
| Provider Name | Jami Liebner | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1871265371 PECOS PAC ID: 8820476625 Enrollment ID: I20220607002801  | 
| Provider Name | Fen-ju Tai | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1467197574 PECOS PAC ID: 3577942002 Enrollment ID: I20220614000506  | 
| Provider Name | Nicole Stanek | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1083125686 PECOS PAC ID: 9234518382 Enrollment ID: I20220620001102  | 
| Provider Name | Michele D'angelo | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1194167700 PECOS PAC ID: 9931588076 Enrollment ID: I20220621002671  | 
| Provider Name | George Kerrigan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1396331658 PECOS PAC ID: 6002295052 Enrollment ID: I20220622000023  | 
| Provider Name | Chris James Cochrane | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1104574516 PECOS PAC ID: 9638559065 Enrollment ID: I20220701001773  | 
| Provider Name | Peter Campanelli | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1164545489 PECOS PAC ID: 8820031735 Enrollment ID: I20220705002016  | 
| Provider Name | Hope Elissa Vecchio | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1063078483 PECOS PAC ID: 8729469481 Enrollment ID: I20220713001517  | 
| Provider Name | Denise Lynn Delello | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1801140298 PECOS PAC ID: 1850772328 Enrollment ID: I20220714001567  | 
| Provider Name | Sam Kedem | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1306115654 PECOS PAC ID: 1355723172 Enrollment ID: I20220726003120  | 
| Provider Name | Nicola Rivers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174260483 PECOS PAC ID: 3577945393 Enrollment ID: I20220726003440  | 
| Provider Name | Pamela A Foelsch | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1497938773 PECOS PAC ID: 7719360908 Enrollment ID: I20220822001231  | 
| Provider Name | Emily Hehmeyer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1174163414 PECOS PAC ID: 0244614857 Enrollment ID: I20220831002051  | 
| Provider Name | Andrea Luke | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1033658554 PECOS PAC ID: 8527443266 Enrollment ID: I20220916001792  | 
| Provider Name | Anitha Mogallapu | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1003176835 PECOS PAC ID: 9133361298 Enrollment ID: I20220922001338  | 
| Provider Name | Tiffany Harnett | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1790247161 PECOS PAC ID: 0042542425 Enrollment ID: I20220923000499  | 
| Provider Name | Sylvester Oguguo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497126346 PECOS PAC ID: 0749658276 Enrollment ID: I20221115000518  | 
| Provider Name | Melissa Bergquist | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1851830194 PECOS PAC ID: 3870962988 Enrollment ID: I20221213000618  | 
| Provider Name | Christine M Titus | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1477092807 PECOS PAC ID: 4082083738 Enrollment ID: I20221220000659  | 
| Provider Name | Richard Gelb | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1912028127 PECOS PAC ID: 0345349080 Enrollment ID: I20221222002841  | 
| Provider Name | Mary T Denning | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1174999437 PECOS PAC ID: 0143690693 Enrollment ID: I20221228001396  | 
| Provider Name | Susan E D'ambrosio | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1225074420 PECOS PAC ID: 7810928033 Enrollment ID: I20230112002323  | 
| Provider Name | Sharice White | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1558847889 PECOS PAC ID: 9830563592 Enrollment ID: I20230320001453  | 
| Provider Name | Anna Adeyemi | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1346770344 PECOS PAC ID: 9032574405 Enrollment ID: I20230509000073  | 
| Provider Name | Jennifer D Barone | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1649977109 PECOS PAC ID: 2961864376 Enrollment ID: I20230817000608  | 
| Provider Name | Vincent Smith | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1497877070 PECOS PAC ID: 4486897907 Enrollment ID: I20230821001361  | 
| Provider Name | Barry Thomas Winkler | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1245316710 PECOS PAC ID: 9133573108 Enrollment ID: I20230925001753  | 
| Provider Name | Christina Ouellette | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124491006 PECOS PAC ID: 9537513262 Enrollment ID: I20230928000972  | 
| Provider Name | Tanya Monroe | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578275921 PECOS PAC ID: 8123473113 Enrollment ID: I20231011001978  | 
| Provider Name | Samantha Dale | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1205462231 PECOS PAC ID: 2264887199 Enrollment ID: I20231013000150  | 
| Provider Name | Myrda Florvil | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972929453 PECOS PAC ID: 2466814884 Enrollment ID: I20231018001342  | 
| Provider Name | Anuja Oak-mathur | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1215571120 PECOS PAC ID: 8123474327 Enrollment ID: I20231024003613  | 
| Provider Name | Eloisa Negron | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1295031490 PECOS PAC ID: 8123368685 Enrollment ID: I20231102002134  | 
| Provider Name | Felicia Black | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306477054 PECOS PAC ID: 5991152977 Enrollment ID: I20231113002964  | 
| Provider Name | Ogechukwu Osigwe-adiele | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053887497 PECOS PAC ID: 7416305677 Enrollment ID: I20231128003027  | 
| Provider Name | William Alexander Reynolds | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1609994300 PECOS PAC ID: 8729436787 Enrollment ID: I20231130003723  | 
| Provider Name | Kristie Evangelow | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1730538877 PECOS PAC ID: 2769833383 Enrollment ID: I20240109000310  | 
| Provider Name | Melanie Littman | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1063281756 PECOS PAC ID: 7416309349 Enrollment ID: I20240117000283  | 
| Provider Name | Tracey Cox | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1376075838 PECOS PAC ID: 4880046572 Enrollment ID: I20240118001193  | 
| Provider Name | Irene R Garrick | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1467795294 PECOS PAC ID: 2365894573 Enrollment ID: I20240123002683  | 
| Provider Name | Joel Haynes | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1083910947 PECOS PAC ID: 0547613739 Enrollment ID: I20240124000986  | 
| Provider Name | Pauline C Arquero-canlas | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1245971464 PECOS PAC ID: 7113360314 Enrollment ID: I20240205002367  | 
| Provider Name | Dolores Jones | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1740513779 PECOS PAC ID: 5294178000 Enrollment ID: I20240208002956  | 
| Provider Name | Mitchell Schulman | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1326274945 PECOS PAC ID: 9739523747 Enrollment ID: I20240219000413  | 
| Provider Name | Bianca T. Velez Cruz | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1821659756 PECOS PAC ID: 0042655839 Enrollment ID: I20240304000106  | 
| Provider Name | Sharon Cyrus-savary | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1659700888 PECOS PAC ID: 7315383734 Enrollment ID: I20240307003634  | 
| Provider Name | Kiara Ianna Williams | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1598227548 PECOS PAC ID: 6709224595 Enrollment ID: I20240328003244  | 
| Provider Name | Marjorie Gill | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1699232272 PECOS PAC ID: 6204274046 Enrollment ID: I20240329001116  | 
| Provider Name | Divine Williams | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1073266458 PECOS PAC ID: 6608214127 Enrollment ID: I20240403002202  | 
| Provider Name | Esther R Geffner | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1649615972 PECOS PAC ID: 3375981640 Enrollment ID: I20240404004105  | 
| Provider Name | Kimberly Mildred Guthrie | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1386216513 PECOS PAC ID: 8729426028 Enrollment ID: I20240405001009  | 
| Provider Name | Sugey Lara | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1093137754 PECOS PAC ID: 5395183552 Enrollment ID: I20240406000055  | 
| Provider Name | Kaitlin C Mchugh | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376008508 PECOS PAC ID: 1456799584 Enrollment ID: I20240409000591  | 
| Provider Name | Tatyana Antoinette Jackson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1760941322 PECOS PAC ID: 1254771322 Enrollment ID: I20240507000503  | 
| Provider Name | Fai H Tsoi | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1518462183 PECOS PAC ID: 7911348032 Enrollment ID: I20240507002808  | 
| Provider Name | Andrea Bestul | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1972364537 PECOS PAC ID: 2365883212 Enrollment ID: I20240509003394  | 
| Provider Name | Alan Vanell | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1144694670 PECOS PAC ID: 4183065519 Enrollment ID: I20240515003628  | 
| Provider Name | Colette A Cassidy | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1972138188 PECOS PAC ID: 4082055298 Enrollment ID: I20240517002478  | 
| Provider Name | Vanessa Claire Soleil | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1801455746 PECOS PAC ID: 7012358245 Enrollment ID: I20240517003167  | 
| Provider Name | Joseph Vegas | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1336706324 PECOS PAC ID: 4082056015 Enrollment ID: I20240522003146  | 
| Provider Name | Geordan Holmes | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1952722571 PECOS PAC ID: 1759723687 Enrollment ID: I20240523002663  | 
| Provider Name | Alessandra Palladino | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1144834201 PECOS PAC ID: 9537501234 Enrollment ID: I20240528000417  | 
| Provider Name | Janel W Judge | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1801971346 PECOS PAC ID: 1153763792 Enrollment ID: I20240528001954  | 
| Provider Name | Xiya Li | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1346017472 PECOS PAC ID: 5294177895 Enrollment ID: I20240529000368  | 
| Provider Name | Ally Danielle Liff | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1760081277 PECOS PAC ID: 2769824218 Enrollment ID: I20240529002606  | 
| Provider Name | Maria Lynne Brayton | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1144941527 PECOS PAC ID: 4880136340 Enrollment ID: I20240612000901  | 
| Provider Name | Daphne Denis | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1427467232 PECOS PAC ID: 3678016573 Enrollment ID: I20240620000971  | 
| Provider Name | Sandy Baker | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1336614544 PECOS PAC ID: 8921541459 Enrollment ID: I20240625000917  | 
| Provider Name | Akua A Genfi | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1649700956 PECOS PAC ID: 9931644101 Enrollment ID: I20240711003041  | 
| Provider Name | Tara Frances Wilson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1487292249 PECOS PAC ID: 7517403751 Enrollment ID: I20240723004453  | 
| Provider Name | Ashley Young | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851545016 PECOS PAC ID: 0446796304 Enrollment ID: I20240726003266  | 
| Provider Name | Allyson Havill | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1124227269 PECOS PAC ID: 6204006232 Enrollment ID: I20240805002184  | 
| Provider Name | Racquel Ellis | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1043723828 PECOS PAC ID: 3779020003 Enrollment ID: I20240805003149  | 
| Provider Name | Damalye Barclay-debi | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1992428189 PECOS PAC ID: 5294107074 Enrollment ID: I20240812002693  | 
| Provider Name | Tyler Kunthel Sar | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1740899376 PECOS PAC ID: 4183162910 Enrollment ID: I20240812002939  | 
| Provider Name | Christine Camille Hines | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1093420150 PECOS PAC ID: 6305384157 Enrollment ID: I20240812003729  | 
| Provider Name | Ami Clarke | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1124686662 PECOS PAC ID: 1850839572 Enrollment ID: I20240813002326  | 
| Provider Name | Louis E Krigger | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1043782097 PECOS PAC ID: 1456899186 Enrollment ID: I20240813003047  | 
| Provider Name | Christine Daves | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1629480967 PECOS PAC ID: 3678012580 Enrollment ID: I20240823000133  | 
| Provider Name | Michelle Carol Lendore | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982443677 PECOS PAC ID: 1557800943 Enrollment ID: I20240829001557  | 
| Provider Name | Dawn Adjei Jackson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1427634674 PECOS PAC ID: 9133668239 Enrollment ID: I20240903001139  | 
| Provider Name | Katerina Yarifalia Stratigis | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1124794573 PECOS PAC ID: 5092255901 Enrollment ID: I20240906000297  | 
| Provider Name | Jill Rice | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1093823361 PECOS PAC ID: 1850428822 Enrollment ID: I20240909004610  | 
| Provider Name | Jean-ralph Petido | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1508611625 PECOS PAC ID: 3476093634 Enrollment ID: I20240913003257  | 
| Provider Name | Catherine Marie Farrelly | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1659028207 PECOS PAC ID: 0143761221 Enrollment ID: I20240916003949  | 
| Provider Name | Kelsey Full | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194425306 PECOS PAC ID: 7113468174 Enrollment ID: I20240918002783  | 
| Provider Name | Marylin Perez | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1912358763 PECOS PAC ID: 2062953664 Enrollment ID: I20240924000031  | 
| Provider Name | Harsimranjit Singh | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841036183 PECOS PAC ID: 3476084260 Enrollment ID: I20241003002973  | 
| Provider Name | Tyler Joesph Ellison | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1821854035 PECOS PAC ID: 3678004322 Enrollment ID: I20241004001645  | 
| Provider Name | Sonjia Smith | 
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist | 
| Provider Identifiers | NPI Number: 1770298382 PECOS PAC ID: 6901338045 Enrollment ID: I20241015001427  | 
| Provider Name | Kellie Dyson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1912364621 PECOS PAC ID: 8527590314 Enrollment ID: I20241017003442  | 
| Provider Name | Amani Moussa Henry | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1356611800 PECOS PAC ID: 9436681079 Enrollment ID: I20241021001511  | 
| Provider Name | Natalia Kotova | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215715776 PECOS PAC ID: 2961935309 Enrollment ID: I20241024000710  | 
| Provider Name | Stacey Ann Bastien | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1255177754 PECOS PAC ID: 5597298554 Enrollment ID: I20241029002833  | 
| Provider Name | Wilfredo Muniz | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1194492181 PECOS PAC ID: 4385039825 Enrollment ID: I20241108003117  | 
| Provider Name | Yissel Rodriguez | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1902652035 PECOS PAC ID: 1355875188 Enrollment ID: I20241115000342  | 
| Provider Name | Christopher Scarallo | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1215658323 PECOS PAC ID: 0345775516 Enrollment ID: I20241125002056  | 
| Provider Name | Eugene Shin | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1245983048 PECOS PAC ID: 5991230179 Enrollment ID: I20241125002458  | 
| Provider Name | Danielle Thorpe-wynn | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1336510627 PECOS PAC ID: 6709311566 Enrollment ID: I20241203002025  | 
| Provider Name | Cassandra Mcgee | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1235788613 PECOS PAC ID: 4981139771 Enrollment ID: I20241203002890  | 
| Provider Name | Lauren Marie Lang | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1104499789 PECOS PAC ID: 8123555851 Enrollment ID: I20241219001716  | 
| Provider Name | D Belinsky | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1457932287 PECOS PAC ID: 2769919273 Enrollment ID: I20241223001337  | 
| Provider Name | Reynaldo Orellana | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1730833195 PECOS PAC ID: 4880121391 Enrollment ID: I20241223001638  | 
| Provider Name | Shekeithra S Mclamb | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1053024406 PECOS PAC ID: 8527596410 Enrollment ID: I20250106001576  | 
| Provider Name | Ruslan Zukin | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1811496383 PECOS PAC ID: 0749718633 Enrollment ID: I20250106001880  | 
| Provider Name | Laurie Vero | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1518362904 PECOS PAC ID: 9133658438 Enrollment ID: I20250131001617  | 
| Provider Name | Kelly Salazar | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1457958332 PECOS PAC ID: 7012446214 Enrollment ID: I20250131002094  | 
| Provider Name | Adeleye Babalola | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700175767 PECOS PAC ID: 2668901893 Enrollment ID: I20250131003591  | 
| Provider Name | Laura Ardeljan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1891233961 PECOS PAC ID: 4880123025 Enrollment ID: I20250203000002  | 
| Provider Name | Khiam Kramer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1326687245 PECOS PAC ID: 4880123033 Enrollment ID: I20250203000350  | 
| Provider Name | Dimitra Tzanis | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1861965147 PECOS PAC ID: 9234668484 Enrollment ID: I20250203000377  | 
| Provider Name | Krysten Hughes | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1104579945 PECOS PAC ID: 6608305867 Enrollment ID: I20250203000792  | 
| Provider Name | Jermaine Nnaeto | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962264812 PECOS PAC ID: 2466890686 Enrollment ID: I20250203001423  | 
| Provider Name | Mohamed Sarour | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1619695236 PECOS PAC ID: 6103356290 Enrollment ID: I20250204003326  | 
| Provider Name | Adelsia Vasquez | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1689490351 PECOS PAC ID: 0840720942 Enrollment ID: I20250204003717  | 
| Provider Name | Stacey Ann Hall-mcleod | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1275082760 PECOS PAC ID: 6305376963 Enrollment ID: I20250212000085  | 
| Provider Name | Olivia Gibson-delaney | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1881128924 PECOS PAC ID: 2961748827 Enrollment ID: I20250213000490  | 
| Provider Name | Bianca Wentt | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1952008138 PECOS PAC ID: 3173043320 Enrollment ID: I20250219000854  | 
| Provider Name | Alicia Louise Mongillo | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1790259208 PECOS PAC ID: 7315467081 Enrollment ID: I20250225002054  | 
| Provider Name | Pyau Lukas Hung | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1427532886 PECOS PAC ID: 5799205191 Enrollment ID: I20250227002666  | 
| Provider Name | Yusef Morales | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1831741909 PECOS PAC ID: 5597287029 Enrollment ID: I20250313002699  | 
| Provider Name | Keba Marguerita Rogers | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1780225557 PECOS PAC ID: 3476075912 Enrollment ID: I20250313002809  | 
| Provider Name | Lynette M Sykora | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1841858867 PECOS PAC ID: 7012355282 Enrollment ID: I20250321002083  | 
| Provider Name | Mara Sambugaro Framesqui | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1871273532 PECOS PAC ID: 6709308349 Enrollment ID: I20250324001764  | 
| Provider Name | Michael Fiscaletti | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1053019190 PECOS PAC ID: 4688196256 Enrollment ID: I20250324002385  | 
| Provider Name | Cori Mosher | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1366975773 PECOS PAC ID: 6901320795 Enrollment ID: I20250414003314  | 
| Provider Name | Onitkaa Galbreath | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1558950287 PECOS PAC ID: 9335665223 Enrollment ID: I20250423003038  | 
| Provider Name | Heidi Wenderoth | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1922286350 PECOS PAC ID: 9436675873 Enrollment ID: I20250429000394  | 
| Provider Name | Taryn Franklin | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1962170001 PECOS PAC ID: 3870011547 Enrollment ID: I20250516000351  | 
| Provider Name | Judy Kay | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1487700472 PECOS PAC ID: 8527586189 Enrollment ID: I20250516002661  | 
| Provider Name | Irmina Fisk | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033651336 PECOS PAC ID: 5890213458 Enrollment ID: I20250516002679  | 
| Provider Name | Keith R Dixon | 
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist | 
| Provider Identifiers | NPI Number: 1225537210 PECOS PAC ID: 8921517343 Enrollment ID: I20250605001417  | 
| Provider Name | Kathryn Donivan | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1871381913 PECOS PAC ID: 4183134273 Enrollment ID: I20250609000563  | 
Community Counseling And Mediation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Elm Pl Fl 2, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493  | |
Guidance Center Of Brooklyn Heights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Chapel St Fl 9, Brooklyn, NY 11201 Phone: 718-875-7510 Fax: 718-858-8410  | |
E. Twente, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Plaza St W, Apt 2-b, Brooklyn, NY 11217 Phone: 718-622-5796  | |
Akiva Management Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Surf Ave, Brooklyn, NY 11224 Phone: 718-444-5125 Fax: 718-444-1582  | |
Kuumba Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Schermerhorn St Ste 136, Brooklyn, NY 11201 Phone: 929-277-2550  | |
Community Counseling And Mediation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hoyt St, Seventh Floor, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493  | |
Mn Psychological Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2255 Cropsey Ave, Brooklyn, NY 11214 Phone: 718-221-5800  |