Talkspace Provider Network Ca Pc - Medicare Mental Health Clinic in New York, NY

Talkspace Provider Network Ca Pc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in New York, New York. The current practice location for Talkspace Provider Network Ca Pc is 2578 Broadway # 607, New York, New York. For appointments, you can reach them via phone at (212) 284-7206. The mailing address for Talkspace Provider Network Ca Pc is Po Box 659, Portsmouth, New Hampshire and phone number is (212) 284-7206.

Talkspace Provider Network Ca Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003506866. 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 (212) 284-7206.

Contact Information

Talkspace Provider Network Ca Pc
2578 Broadway # 607
New York
NY 10025-5642
(212) 284-7206
Not Available

Mental Health Clinic Profile

Full NameTalkspace Provider Network Ca Pc
SpecialityClinic/Center
Location2578 Broadway # 607, New York, New York
Authorized Official Name and PositionVarun Choudhary (AUTHORIZED OFFICIAL)
Authorized Official Contact2122847206
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Talkspace Provider Network Ca Pc
Po Box 659
Portsmouth
NH 03802-0659

Ph: (212) 284-7206
Talkspace Provider Network Ca Pc
2578 Broadway # 607
New York
NY 10025-5642

Ph: (212) 284-7206

NPI Details:

NPI Number1003506866
Provider Enumeration Date05/15/2023
Last Update Date05/06/2024
Certification Date05/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7719339548
Medicare Enrollment IDO20240117003713

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Medical Identifiers

Medical identifiers for Talkspace Provider Network Ca Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003506866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Talkspace Provider Network Ca Pc acts as a billing entity for following providers:
Provider NameNikeisha Jn Parker
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1851684898
PECOS PAC ID: 6800248014
Enrollment ID: I20240307002354

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Clinic/Center in New York, NY

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