Senior Behavioral Group, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SENIOR BEHAVIORAL GROUP, INC.

Practice address

18136 Kildare Rd
Jamaica, NY 11432-1534

Phone

(917) 312-5697

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Rachel LevinNPI 1396851192

Title

President

Phone

(917) 312-5697

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rachel Levin, LCSW

  • Clinical Social Worker
  • Kew Gardens, NY
  • NPI 1396851192
  Medicare reassignment Care Compare group NPD Authorized official
• Bonnie Gerbitz, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1205505120
  Medicare reassignment Care Compare group NPD
• Miriam Shields, PSYD

  • Clinical Child & Adolescent Psychologist
  • Flushing, NY
  • NPI 1063983757
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1447852744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18136 KILDARE RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321534",
            "telephone_number": "917-312-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18136 KILDARE RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321534",
            "telephone_number": "917-312-5697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "953 E 27th St Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112103757",
            "country_code": "US",
            "telephone_number": "917-312-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR BEHAVIORAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-312-5697"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piyali Sen, MD
• Remi Sen
• Farah Seneque, LMSW
• Marie Marthe Seneque
• Trina Sengupta, DMD
• Gyeongcheol Seo, PT, DPT
• Roxanne Sepulveda
• Palmyre Seraphin
• Serene Care NP in Psychiatry P.C.
• Serenity 6 Inc

• Clinical Psychologist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.