Active NPI
Pearl Behavioral Health & Medicine PLLC
- Psychiatry Physician
- New York, NY
National Provider Identifier
1629581822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PEARL BEHAVIORAL HEALTH & MEDICINE PLLC
- Practice address
- 387 Park Ave S FL 5
New York, NY 10016-8810 - Phone
- (347) 916-4944
- NPI assigned
- Nov 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriella Inczedy Farkas, MD
- Title
- Owner
- Phone
- (347) 916-4944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
387 Park Ave S FL 5
New York, NY 10016-8810
Mailing address
387 Park Ave S FL 5
New York, NY 10016-8810
Phone (347) 916-4944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190624000376 | NY | Part B Supplier - Clinic/Group Practice | 8628302783 | Practice locations: Long Island City, NY |
| O20230626000143 | SC | Part B Supplier - Clinic/Group Practice | 8628302783 | Practice locations: Hilton Head Island, SC |
National Provider Directory
National Provider DirectoryLocations
3245 Hunters Point Ave
Long Island City, NY 11101
Phone (917) 267-9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560729600000",
"number": "1629581822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 PARK AVE S FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168810",
"telephone_number": "347-916-4944",
"fax_number": "347-983-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 PARK AVE S FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168810",
"telephone_number": "347-916-4944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL BEHAVIORAL HEALTH & MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-09",
"last_updated": "2019-06-17",
"status": "A",
"authorized_official_last_name": "INCZEDY FARKAS",
"authorized_official_first_name": "GABRIELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-916-4944",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.