Ican Innovative Counseling And Assessment Of Nassau - Medicare Mental Health Clinic in Staten Island, NY

Ican Innovative Counseling And Assessment Of Nassau is a medicare enrolled mental health clinic (Psychologist - Clinical) in Staten Island, New York. The current practice location for Ican Innovative Counseling And Assessment Of Nassau is 191 Bradley Ave, Staten Island, New York. For appointments, you can reach them via phone at (516) 558-3010. The mailing address for Ican Innovative Counseling And Assessment Of Nassau is 70 E Sunrise Highway, Suite 500 #6409, Valley Stream, New York and phone number is (516) 558-3010.

Ican Innovative Counseling And Assessment Of Nassau is licensed to practice in New York (license number 020858). The clinic also participates in the medicare program and its NPI number is 1053768424. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (516) 558-3010.

Contact Information

Ican Innovative Counseling And Assessment Of Nassau
191 Bradley Ave
Staten Island
NY 10314-5166
(516) 558-3010
(516) 558-3011

Mental Health Clinic Profile

Full NameIcan Innovative Counseling And Assessment Of Nassau
SpecialityPsychologist
Location191 Bradley Ave, Staten Island, New York
Authorized Official Name and PositionElie Cohen (OWNER)
Authorized Official Contact5165583010
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ican Innovative Counseling And Assessment Of Nassau
70 E Sunrise Highway
Suite 500 #6409
Valley Stream
NY 11581

Ph: (516) 558-3010
Ican Innovative Counseling And Assessment Of Nassau
191 Bradley Ave
Staten Island
NY 10314-5166

Ph: (516) 558-3010

NPI Details:

NPI Number1053768424
Provider Enumeration Date05/16/2016
Last Update Date11/04/2022
Certification Date11/04/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2567702343
Medicare Enrollment IDO20190313002133

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Medical Identifiers

Medical identifiers for Ican Innovative Counseling And Assessment Of Nassau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053768424NPI-NPPES
03965299MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 020858 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ican Innovative Counseling And Assessment Of Nassau acts as a billing entity for following providers:
Provider NameElie N Cohen
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1457751059
PECOS PAC ID: 7911128954
Enrollment ID: I20141016001394

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