SERVICE PROGRAM FOR OLDER PEOPLE INC (NPI# 1740211143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740211143 |
| Entity Type | Organization |
| Organization Name | SERVICE PROGRAM FOR OLDER PEOPLE INC |
| Practice Address |
302 W 91st St New York NY 10024-1011 |
| Mailing Address |
302 W 91st St 2nd Flr New York NY 10024-1011 |
| Practice Telephone | 2127877120 |
| Mailing Telephone | 2127877120 |
| Mailing Fax Number | 2125800533 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | NANCY HARVEY (EXEC DIRECTOR) |
| Authorized Official Telephone | 2127877120 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD | A2391634 | 01 |
| NY | 00813034 | 05 | |
| NY | VALUE OPTIONS | 313087 | 01 |
| NY | GHI | 7480603 | 01 |
| NY | 00245327 | 05 | |
| NY | HIP | 26178P | 01 |
| Street Address |
302 W 91ST ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122265 | Emely Reyes | Peer Specialist | 302 W 91st St, New York, NY 10024-1011 | 2020-04-16 |
| 1114556891 | Victoria Gambino | Peer Specialist | 302 W 91st St, New York, NY 10024-1011 | 2020-04-05 |
| 1427608629 | Teresa Theophano | Social Worker | 302 W 91st St, New York, NY 10024-1011 | 2019-09-19 |
| 1588188700 | Evelyn Kuang | Registered Nurse | 302 W 91st St, New York, NY 10024-1011 | 2017-07-30 |
| 1619417680 | Maria Virginia Rivera | Social Worker | 302 W 91st St, New York, NY 10024-1011 | 2017-02-24 |
| 1831644657 | Service Program for Older People | Community/Behavioral Health | 302 W 91st St, New York, NY 10024-1011 | 2016-08-22 |
| 1487007787 | Catherine Thurston | Social Worker | 302 W 91st St, Apt 2, New York, NY 10024-1011 | 2016-07-21 |
| 1457746257 | Nydawattie Nanjad | Social Worker | 302 W 91st St, New York, NY 10024-1011 | 2015-03-30 |
| 1053698175 | Donna Lee | Social Worker | 302 W 91st St, New York, NY 10024-1011 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
| 1669527925 | Miodrag Ristich | Psychiatry & Neurology | 201 E 79th St, Suite 7j, New York, NY 10021-0830 | 2007-01-24 |
| 1730117342 | Robert Abrams | Psychiatry & Neurology | 175 W 13th St, #16-g, New York, NY 10011-7855 | 2006-06-30 |
| 1497781371 | Jose A Baez | Psychiatry & Neurology | 707west 171 Street, Suite W, New York, NY 10032 | 2006-06-23 |
| 1063409951 | Istvan E.j. Boksay | Psychiatry & Neurology | 314 E 30th St, New York, NY 10016-8303 | 2005-10-05 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.