Amanda Hubelashvili

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1268 E 14TH St
Brooklyn, NY 11230-5241

Phone

(718) 382-0045

Fax

(718) 382-0051

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Sulaymanov Other name

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ohel Children's Home and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Far Rockaway, NY
  • NPI 1043468804

  Mental Health

  Medicare reassignment NPD
• Ohel Children's Home and Family Services, Inc.

  • Social Worker
  • Brooklyn, NY
  • NPI 1861465239

  Mental Health

  NPD
• Ohel Children's Home and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, FL
  • NPI 1629851613
  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1407566326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBELASHVILI",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SULAYMANOV",
            "credential": "MHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Desiree Hubbard, MS OT
• Mazline Hubbard
• Shandell Pamela Hubbard, FNP
• Stephaine Lee Hubbard
• Mary Claire Hubbell, PA-C
• Harris S Huberman, MD
• Deborah Hubert
• Sarah Denise Hubert, D.D.S.
• Devora Hubner
• Andrew Hubregsen

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.