Dr Rebman BH LLC
Organization Active NPI Behavioral Neurology & Neuropsychiatry Physician · New York, NY
NPI 1114894540 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1114894540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician 2084B0040X
- Legal business name
- DR REBMAN BH LLC
- Practice address
- 885 3Rd Ave FL 28
New York, NY 10022-4834 - Phone
- (929) 650-3990
- NPI assigned
- Oct 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Glen Rebman
- Title
- Owner
- Phone
- (929) 650-3990
Practitioners 147
-
Jennifer Beckman, LCSW
-
Shelby Paige Goodman, LCSW
-
Analy Kvietok, DNP,RN
-
Glen Rebman, DO
-
Patrick Washington, N.P.-C
-
Ferdinand Akoko, APRN
-
Louise Aka Ezoua, CRNP
-
Jennifer H Cavage, GNP
-
Kellie Boeggeman Dearden, ARNP
-
Sebrina Henderson, N.P
-
Tharon B. Holmberg, CRNP
-
Diana Luciano, CRNP
-
Stacy Ann Macfarlane, APRN
-
Elizabeth Nosier-Turenne, ANP-C
-
Susan Samuels, FNP
-
Tacara Nichole Anderson, APRN, FNP-C
-
Arennette Tysha Anthony, FNP-C
-
Rahaf Balani, ARNP
-
Andrietta Wright Barnett, DNP FNP-C PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (24 enrollments) in FL, IN, WV, MD, DC, DE, PA, NM, IL, WA, TN, VA, NC, NH, ME, CT, RI, VT, NJ, AL, MO, SD, OH, NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251208003375 | FL | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 95 practitioners Practice locations: Miami, FL |
| O20260130000667 | IN | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 22 practitioners Practice locations: Indianapolis, IN |
| O20260201000141 | WV | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 49 practitioners Practice locations: Hurricane, WV |
| O20260203000840 | MD | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 34 practitioners Practice locations: Baltimore, MD |
| O20260203002669 | DC | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 4 practitioners Practice locations: Lanham, MD |
| O20260203002713 | DE | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 28 practitioners Practice locations: Seaford, DE |
| O20260203002776 | PA | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 72 practitioners Practice locations: Lancaster, PA |
| O20260203002841 | NM | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 15 practitioners Practice locations: Albuquerque, NM |
| O20260203003091 | IL | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 28 practitioners Practice locations: Schaumburg, IL |
| O20260203003552 | WA | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 15 practitioners Practice locations: Moses Lake, WA |
| O20260206000194 | TN | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 16 practitioners Practice locations: La Follette, TN |
| O20260207000773 | VA | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 33 practitioners Practice locations: Fredericksburg, VA |
| O20260213000987 | NC | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 31 practitioners Practice locations: Mount Olive, NC |
| O20260220001799 | NH | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 48 practitioners Practice locations: Concord, NH |
| O20260306001593 | ME | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 45 practitioners Practice locations: Westbrook, ME |
| O20260306001789 | CT | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 29 practitioners Practice locations: Stamford, CT |
| O20260306002072 | RI | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 25 practitioners Practice locations: Cumberland, RI |
| O20260306002493 | VT | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 28 practitioners Practice locations: Saint Albans, VT |
| O20260313002144 | NJ | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 55 practitioners Practice locations: Secaucus, NJ |
| O20260313002443 | AL | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 24 practitioners Practice locations: Tuscumbia, AL |
| O20260402001001 | MO | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 13 practitioners Practice locations: Jefferson City, MO |
| O20260406002248 | SD | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 9 practitioners Practice locations: Mitchell, SD |
| O20260420000118 | OH | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 38 practitioners Practice locations: Kettering, OH |
| O20260508000981 | NY | Part B Supplier - Clinic/Group Practice | 6406340421 |
Receives reassigned benefits from 23 practitioners Practice locations: New York, NY |
National Provider Directory
Locations
633 NE 167th St
North Miami Beach, FL 33162
Phone (551) 233-8603
350 W Schaumburg Rd
Ste 2
Schaumburg, IL 60194
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician |
2084B0040X | Yes |
Addresses
Primary practice location
885 3Rd Ave FL 28
New York, NY 10022-4834
Mailing address
885 3Rd Ave FL 28
New York, NY 10022-4834
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.