About

I am licensed in New York State with 25 years of professional work experience., helping clients with Depression, Self-esteem, relationships, family conflicts, including parent/child conflict, coping with grief and loss, & motivation and building self-confidence. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Basic Data

PECOS ID: 5294626206

Entity Type: Individual; Sole Proprietor

Accepts Med Assignment: He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Us Memory Centers, Corp.

Gender

Male

Client Focus

  • Preteens/Tweens (11 To 13)
  • Adolescents/Teenagers (14 To 19)

Therapy Specialties

  • Addiction
  • Anxiety
  • Autism
  • Career Counseling
  • Chronic Pain
  • Codependency
  • Depression
  • Family Conflict
  • Grief
  • Infidelity
  • Learning Disabilities
  • Life Coaching
  • Parenting
  • Personality Disorders
  • Relationship Issues
  • Self Esteem
  • Stress
  • Trauma And PTSD
  • Traumatic Brain Injury

Treatment Orientation

  • Coaching

Modality

  • Couples

Years in Practice

29 years

Languages

  • English

Healthcare Provider Taxonomy

  • Code: 103T00000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Psychologist

Credentials

  • Doctor of Psychology (PSYD)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90832 Psychotherapy, 30 minutes 497 24
90834 Psychotherapy, 45 minutes 241 15

Group Practices

Group practices this therapist belongs to includes:

Supportive Care Psychology Of Ny PC
Address 7810 164th St
Fresh Meadows, NY 11366-1229
Group PAC ID 0749536852
Group Members 45

Group Performance Measures

Performance Measures of Supportive Care Psychology Of Ny PC

Measure Title Y
Measure Title Y
Measure Title Y
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 5
Patients Surveyed 100
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 5
Patients Surveyed 100
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 5
Patients Surveyed 100
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 5
Patients Surveyed 100
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled

Licenses

Name License Number State
Psychologist 011577 Verify NY

Education

Year Graduated
1992

Practice Locations

5110 12th Ave

Brooklyn, NY 11219-3424

Phone Number: (800) 275-3243

Fax Number: (800) 275-3671

7810 164th St

Fresh Meadows, NY 11366-1229

Phone Number: (718) 298-4375

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