Gus Christos Papapetrou, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7633 Issued in NY

Practice address

11510 Queens Blvd
Ste Ul4
Forest Hills, NY 11375-7060

Phone

(718) 544-8454

Fax

(201) 767-6092

NPI assigned

Jan 3, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Psychassociates LLPGroup PAC ID 3072404888, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Psychassociates LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1124051925
  Medicare reassignment Care Compare group NPD
• Arista Center for Psychotherapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1346317468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1053478545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD",
            "address_2": "STE UL4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757060",
            "telephone_number": "718-544-8454",
            "fax_number": "201-767-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 QUEENS BLVD",
            "address_2": "STE UL4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757060",
            "telephone_number": "718-544-8454",
            "fax_number": "201-767-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAPETROU",
        "first_name": "GUS",
        "middle_name": "CHRISTOS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P622131",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845450",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "147100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panda Medical Supplies LLC
• Nora W. Pang, RN
• Van Troi Pang, LAC
• Namita R Pansare, PT
• Anna Papagianakis
• Marc Papini, MSED
• Cheryl Paprocki, M.S.ED, SBL
• Kristine May B Parcon, D.P.T.
• Danielle Nicole Parente
• Elena Parhomchuk

• Psychologist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.