Dallet Psychological Services Pc - Medicare Mental Health Clinic in Valley Stream, NY

Dallet Psychological Services Pc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Valley Stream, New York. The current practice location for Dallet Psychological Services Pc is 821 Newburg Ave, Valley Stream, New York. For appointments, you can reach them via phone at (917) 657-0290. The mailing address for Dallet Psychological Services Pc is 821 Newburg Ave, Valley Stream, New York and phone number is (917) 657-0290.

Dallet Psychological Services Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386331791. 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 (917) 657-0290.

Contact Information

Dallet Psychological Services Pc
821 Newburg Ave
Valley Stream
NY 11581-3107
(917) 657-0290
Not Available

Mental Health Clinic Profile

Full NameDallet Psychological Services Pc
SpecialityPsychologist
Location821 Newburg Ave, Valley Stream, New York
Authorized Official Name and PositionYuliya Vaynrub (MANAGER)
Authorized Official Contact9176570290
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dallet Psychological Services Pc
821 Newburg Ave
Valley Stream
NY 11581-3107

Ph: (917) 657-0290
Dallet Psychological Services Pc
821 Newburg Ave
Valley Stream
NY 11581-3107

Ph: (917) 657-0290

NPI Details:

NPI Number1386331791
Provider Enumeration Date04/18/2023
Last Update Date04/18/2023
Certification Date04/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9537527882
Medicare Enrollment IDO20230620001641

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Medical Identifiers

Medical identifiers for Dallet Psychological Services Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386331791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dallet Psychological Services Pc acts as a billing entity for following providers:
Provider NameGrigory Orenbakh
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366533754
PECOS PAC ID: 5193778488
Enrollment ID: I20050228000041

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