Individual provider Active NPI

Gitty Weinbaum

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1215484084
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009673-01 Issued in NY
Practice address
152 Parkville Ave
Brooklyn, NY 11230-1112
Phone
(347) 731-1096
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009673-01 NY Primary

Addresses

Primary practice location

152 Parkville Ave
Brooklyn, NY 11230-1112

Mailing address

152 Parkville Ave
Brooklyn, NY 11230-1112
Phone (347) 731-1096

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240919002212 NY Practitioner - Mental Health Counselor 5092256842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009673-01NYMDMental Health Counselor
009673NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamaspik of Kings County CurrentSince Sep 11, 2024 Accepting new patients
Hamaspik of Kings County, Inc. CurrentSince Sep 11, 2024 Accepting new patients
SBH Community Service Network, Inc. PastSince Jan 7, 2018 Accepting new patients

Locations

4102 14th Ave
Fl 2
Brooklyn, NY 11219
Phone (718) 387-8400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1215484084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PARKVILLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301112",
            "telephone_number": "347-731-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 PARKVILLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301112",
            "telephone_number": "347-731-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBAUM",
        "first_name": "GITTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009673-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.