| Sentinel Services Group Inc | |
|
232 N Main St Spring Valley NY 10977-4020 | |
| (845) 241-9724 | |
| Not Available |
| Full Name | Sentinel Services Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 232 N Main St, Spring Valley, New York |
| Authorized Official Name and Position | Aryeh Gorelick (CONTROLLER) |
| Authorized Official Contact | 8452419724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentinel Services Group Inc 232 N Main St Spring Valley NY 10977-4020 Ph: (845) 241-9724 | Sentinel Services Group Inc 232 N Main St Spring Valley NY 10977-4020 Ph: (845) 241-9724 |
| NPI Number | 1144891375 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 6901290717 |
|---|---|
| Medicare Enrollment ID | O20220221001691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144891375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Secondary |
| Provider Name | Adam C Seiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619148731 PECOS PAC ID: 4284645243 Enrollment ID: I20060505000598 |
| Provider Name | Stephen William Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942211255 PECOS PAC ID: 1355340423 Enrollment ID: I20061219000275 |
| Provider Name | Claudio M Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083762587 PECOS PAC ID: 9931269974 Enrollment ID: I20081120000111 |
| Provider Name | Stacey Monique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285951657 PECOS PAC ID: 6800869827 Enrollment ID: I20161201001525 |
| Provider Name | Malky Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831582790 PECOS PAC ID: 9133480510 Enrollment ID: I20180227002055 |
| Provider Name | Leslie Lange |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497207211 PECOS PAC ID: 2860755618 Enrollment ID: I20180803001136 |
| Provider Name | Martin Weinberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073925798 PECOS PAC ID: 8729410931 Enrollment ID: I20191108001441 |
| Provider Name | Leonard Kushner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619426210 PECOS PAC ID: 7618368929 Enrollment ID: I20211221002112 |
| Provider Name | Miriam Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639230402 PECOS PAC ID: 1456718519 Enrollment ID: I20230605001569 |
| Provider Name | Jacqueline Celine L Dongmo Mekontchou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225453715 PECOS PAC ID: 1759797665 Enrollment ID: I20230609000811 |
| Provider Name | Karen F Fireman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437695806 PECOS PAC ID: 5890072706 Enrollment ID: I20230911000887 |
| Provider Name | Brittany Danielle Beharry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225760887 PECOS PAC ID: 3476077843 Enrollment ID: I20250407002653 |
| Provider Name | Angelina Adina Ribacoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629323704 PECOS PAC ID: 7810411212 Enrollment ID: I20250407003274 |
| Provider Name | Loren Michelle Berkovics |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861918971 PECOS PAC ID: 3577072743 Enrollment ID: I20250530002587 |
| Provider Name | Moshe a Sender |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033604640 PECOS PAC ID: 7416466560 Enrollment ID: I20250602000747 |
| Provider Name | Sarah Miriam Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871134460 PECOS PAC ID: 8022529015 Enrollment ID: I20250617000949 |
| Provider Name | Carline J Timothee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699567149 PECOS PAC ID: 3577053404 Enrollment ID: I20251107003160 |
| Provider Name | Leslie Ann Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861518367 PECOS PAC ID: 8921239781 Enrollment ID: I20260115003596 |
| Provider Name | Rosa Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861198301 PECOS PAC ID: 3476026295 Enrollment ID: I20260624000369 |
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