| Queens Psychiatric & Medical Care P.C. | |
|
9520 63rd Rd Suite J Rego Park NY 11374-1160 | |
| (718) 459-1225 | |
| (718) 459-5805 |
| Full Name | Queens Psychiatric & Medical Care P.C. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9520 63rd Rd, Rego Park, New York |
| Authorized Official Name and Position | Raymond Tam (PRESIDENT) |
| Authorized Official Contact | 7184591225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Psychiatric & Medical Care P.C. 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 | Queens Psychiatric & Medical Care P.C. 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 |
| NPI Number | 1497119846 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Medicare PECOS PAC ID | 0244521714 |
|---|---|
| Medicare Enrollment ID | O20160614001814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497119846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
| Provider Name | Ludmila Davidov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457311987 PECOS PAC ID: 1355335027 Enrollment ID: I20040414000681 |
| Provider Name | Samuel E Samalin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255433082 PECOS PAC ID: 3870592744 Enrollment ID: I20080811000528 |
| Provider Name | Joseph E Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245309624 PECOS PAC ID: 2769376896 Enrollment ID: I20101115000431 |
| Provider Name | Bruce D Schweiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407958481 PECOS PAC ID: 3971639113 Enrollment ID: I20110310000099 |
| Provider Name | Justina a Momah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336372309 PECOS PAC ID: 0446490635 Enrollment ID: I20130711000604 |
| Provider Name | Jiji George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516867 PECOS PAC ID: 8628208634 Enrollment ID: I20140312001476 |
| Provider Name | Erica Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053685206 PECOS PAC ID: 9830320084 Enrollment ID: I20140401001042 |
| Provider Name | Nagmo Fatakhova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821018359 PECOS PAC ID: 9234220310 Enrollment ID: I20151005001343 |
| Provider Name | Seeta Ganpat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679996375 PECOS PAC ID: 9931490646 Enrollment ID: I20160627001697 |
| Provider Name | Bryan J Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784647 PECOS PAC ID: 7517230006 Enrollment ID: I20170905002470 |
| Provider Name | Lakshmi Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720588742 PECOS PAC ID: 2769731819 Enrollment ID: I20180822002127 |
| Provider Name | Hilma L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760503 PECOS PAC ID: 0547594822 Enrollment ID: I20190619003041 |
| Provider Name | Ericka Deadwyler-gourgue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689154130 PECOS PAC ID: 7618309964 Enrollment ID: I20191107001837 |
| Provider Name | Henrietta Oby Okpala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164414512 PECOS PAC ID: 9436389665 Enrollment ID: I20200212001630 |
| Provider Name | Shenique Ranger- Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942841200 PECOS PAC ID: 1355771098 Enrollment ID: I20200421003146 |
| Provider Name | Lashandra Saulsberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114565538 PECOS PAC ID: 9830528405 Enrollment ID: I20200506001290 |
| Provider Name | Felicia a Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154767499 PECOS PAC ID: 4981023652 Enrollment ID: I20200929003013 |
| Provider Name | Angela Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154078970 PECOS PAC ID: 5294117875 Enrollment ID: I20220728002276 |
| Provider Name | Caroline Larosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114635786 PECOS PAC ID: 6103299110 Enrollment ID: I20230222001033 |
| Provider Name | Laurine Vanlerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295481877 PECOS PAC ID: 3476921131 Enrollment ID: I20250219003754 |
| Provider Name | Jane Ewuzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194480582 PECOS PAC ID: 8022489715 Enrollment ID: I20251114001716 |
| Provider Name | Beatrice Boham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689330524 PECOS PAC ID: 4486197027 Enrollment ID: I20260223000051 |
| Provider Name | Smart Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053014159 PECOS PAC ID: 7719468958 Enrollment ID: I20260225002550 |
Luc Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 66th Ave, Rego Park, NY 11374 Phone: 917-400-8354 |
Tatyana Yuzbashyan MD PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97-01 66th Ave., Rego Park, NY 11374 Phone: 718-275-5200 Fax: 718-275-6864 |
Raymond Tam, MD, PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9520 63rd Rd, Suite J, Rego Park, NY 11374 Phone: 718-459-1225 Fax: 718-459-5805 |
Comprehensive Licensed Behavior Analyst, PLLC. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6264 Saunders St Apt D3, Rego Park, NY 11374 Phone: 646-868-3815 |
Laura Amram Psychiatry PC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95-20 63 Road, Suite O, Rego Park, NY 11374 Phone: 718-755-0656 Fax: 888-500-0406 |
Doug Uhlig Psychological Services PLLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6344 Saunders St Ste 102, Rego Park, NY 11374 Phone: 917-617-6731 |