FULL GESTALT


Address: 5 W 86th St Apt 1b, New York, NY 10024-3663
Phone: 9172151629

FULL GESTALT (NPI# 1518581206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518581206
Entity Type Organization
Organization Name FULL GESTALT
Practice Address 5 W 86th St Apt 1b
New York
NY 10024-3663
Practice Telephone 9172151629
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Authorized Official Name MICHAEL MEIKSON (CONSULTANT)
Authorized Official Telephone 9178428765
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
5 W 86th St Apt 1b, New York, NY 100243663 9172151629

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations FULL GESTALT LLC 315 Central Park West, Apt 7n, New York, New York 10025

Office Location

Street Address 5 W 86TH ST APT 1B
City NEW YORK
State NY
Zip Code 10024-3663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881102267 Park Avenue Physicians PC Psychiatry & Neurology 5 W 86th St Apt 1b, New York, NY 10024-3663 2018-01-19

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
1639791924 Sanctuary Aso LLC Clinic/Center 57 W 57th St Ste 1101, New York, NY 10019-2814 2020-05-11
1548802770 Christopher Bandini, Inc Clinic/Center 303 5th Ave Rm 1703, New York, NY 10016-6641 2019-10-09
1407418379 Housing Works Services, Inc. Clinic/Center 743- East 9th Street, Omh Department, New York, NY 10009 2019-07-01
1184196644 Gab Brands, LLC Clinic/Center 505 W 54th St Apt 713, New York, NY 10019-5059 2018-12-21
1164994786 Frameworks Counseling Lcsw P.C. Clinic/Center 125 E 23rd St Fl 5, New York, NY 10010-4581 2018-12-20
1265931984 Nyc Therapeutic Wellness Clinic/Center 303 5th Ave Rm 606, New York, NY 10016-6685 2018-02-08
1447707146 Gary M Prottas, Lcsw Psychotherapist Pllc Clinic/Center 20 West 20th Street, Room 239, New York, NY 10011-4313 2016-09-09
1881043370 Margaret M. Rombone, Ph.d. Clinic/Center 51 E 25th St Ste 7h, New York, NY 10010-8209 2016-06-06
1003270224 Peter Reznik Clinic/Center 1641 3rd Ave Ste 201, New York, NY 10128-3623 2016-04-13
1417313024 Jerome Boling Clinic/Center 2090 7th Ave Fl 4, New York, NY 10027-4941 2016-01-12
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Competitor

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City NEW YORK
Zip Code 10024

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Dataset Information

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.

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