Dr Paul Poulakos DO, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DR PAUL POULAKOS DO, LLC

Practice address

412 6TH Avenue
Floor 7, Suite 702
New York, NY 10011-4918

Phone

(917) 275-3625

NPI assigned

Mar 5, 2020

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Poulakos, DONPI 1558715383

Title

Physician

Phone

(917) 275-3625

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Emmanuel Poulakos, D.O.

  • Psychiatry Physician
  • New York, NY
  • NPI 1558715383
  NPD Authorized official

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1104451525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 6TH AVENUE",
            "address_2": "FLOOR 7, SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114918",
            "telephone_number": "917-275-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 6TH AVENUE",
            "address_2": "FLOOR 7, SUITE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114918",
            "telephone_number": "917-275-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAUL POULAKOS DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-07-03",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "POULAKOS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-275-3625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Marcela a Bonafina-Caraccioli Psychologist PC
• Dr Marina Feldman MD PC (Urban Pain Solutions)
• Dr Medical Services PC
• Dr Melissa Corpus, Psych, P.C.
• Dr Omar Bashayan Physician PLLC
• Dr Prem Chattoo DO PC
• Dr Rebman BH LLC
• Dr Richard L Rausch DDS PLLC
• Dr Robert L Leahy Psychologist PC Dba American Institute for Cognitiv (American Institute for Cognitive Therapy)
• Dr Robert Riordan-Clinical Psychologist PLLC

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.