| Dr Bertram Oliver Ploog, PHD, BCBA-D | |
|
56 Saint Marks Pl, Staten Island, NY 10301-1607 | |
| (718) 982-4083 | |
| Not Available |
| Full Name | Dr Bertram Oliver Ploog |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 35 Years |
| Location | 56 Saint Marks Pl, Staten Island, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841426665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 021285 (New York) | Primary |
| 103K00000X | Behavior Analyst | 000065-1 (New York) | Secondary |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240621000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bertram Oliver Ploog, PHD, BCBA-D 56 Saint Marks Pl, Staten Island, NY 10301-1607 Ph: Not Available | Dr Bertram Oliver Ploog, PHD, BCBA-D 56 Saint Marks Pl, Staten Island, NY 10301-1607 Ph: (718) 982-4083 |
Dr. Eric S Franzone, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 83 Hartford Ave, Staten Island, NY 10310 Phone: 347-460-4768 Fax: 610-452-2318 |
Dr. Valentina Teresa Diglio, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1110 South Ave Ste 5, Staten Island, NY 10314 Phone: 347-273-1290 |
Filana Guelfenboim, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4024 Amboy Rd, Staten Island, NY 10308 Phone: 718-984-9022 |
Simona G Bentsel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 281 Port Richmond Ave, Staten Island, NY 10302 Phone: 718-442-6006 |
Dr. Klonette Johnson, LCSW Psychologist Medicare: May Accept Medicare Assignments Practice Location: 231 Steuben St, Staten Island, NY 10304 Phone: 929-877-8008 |
Philip Christopher Morse, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 78 Hart Blvd, Staten Island, NY 10301 Phone: 718-273-3682 Fax: 908-232-8148 |
Mr. Adam Smith, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 260 Christopher Ln, Staten Island, NY 10314 Phone: 718-751-6750 Fax: 718-494-5714 |