Organization Active NPI

Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1639814049
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TALKSPACE PROVIDER NETWORK PA
Practice address
2578 Broadway # 607
New York, NY 10025-5642
Phone
(212) 284-7206
NPI assigned
Apr 29, 2022
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Nikole Benders-Hadi, MDNPI 1144425208
Title
President
Phone
(212) 284-7206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2578 Broadway # 607
New York, NY 10025-5642

Mailing address

PO Box 659
Portsmouth, NH 03802-0659
Phone (212) 284-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, VA, OH, AL, MO, ID, SC, WI, NM, NE, MN, SD, MT, MA, VT, OK, UT, TX, NH, DC, DE, LA, NV, OR, IL, ME, CT, KS, NC, AZ, WV, WY, KY, PA, ND, MS, RI, TN, GA, IN, HI, IA43 enrollments

Enrollment records 43

Enrollment IDStateProvider typePAC IDDetails
O20240103004110 FL Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 59 practitioners
Practice locations: Delray Beach, FL; Jasper, FL; Miami, FL
O20240110000366 MD Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 33 practitioners
Practice locations: Annapolis, MD; New Market, MD
O20240216002694 VA Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 57 practitioners
Practice locations: Lovettsville, VA
O20240304001688 OH Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 26 practitioners
Practice locations: Steubenville, OH
O20240314002593 AL Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 15 practitioners
Practice locations: Mobile, AL
O20240321002892 MO Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 23 practitioners
Practice locations: Hannibal, MO
O20240328003785 ID Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 12 practitioners
Practice locations: Parma, ID
O20240411003944 SC Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 25 practitioners
Practice locations: Hardeeville, SC
O20240415002987 WI Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 25 practitioners
Practice locations: Milwaukee, WI
O20240416002371 NM Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 13 practitioners
Practice locations: Santa Fe, NM
O20240419002629 NE Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 13 practitioners
Practice locations: Scottsbluff, NE
O20240820001674 MN Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 14 practitioners
Practice locations: Mankato, MN
O20240904001090 SD Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 10 practitioners
Practice locations: Sioux Falls, SD
O20240904002521 MT Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 8 practitioners
Practice locations: Moccasin, MT
O20240909000065 MA Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 37 practitioners
Practice locations: Winchendon, MA; Woburn, MA
O20240913002991 VT Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 12 practitioners
Practice locations: Thetford Center, VT
O20240914000072 OK Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 8 practitioners
Practice locations: Tulsa, OK
O20240917001000 UT Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 11 practitioners
Practice locations: Roosevelt, UT
O20240918000636 TX Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 33 practitioners
Practice locations: Dallas, TX; Schertz, TX; Keller, TX; Galveston, TX; Houston, TX
O20240918000811 NH Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 19 practitioners
Practice locations: Berlin, NH
O20240918001328 DC Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 17 practitioners
Practice locations: Washington, DC
O20240919000467 DE Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 10 practitioners
Practice locations: Lewes, DE
O20240920001133 LA Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 15 practitioners
Practice locations: Harvey, LA; Bossier City, LA
O20240924004520 NV Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 16 practitioners
Practice locations: Las Vegas, NV
O20240930001902 OR Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 35 practitioners
Practice locations: Portland, OR; The Dalles, OR
O20241001001571 IL Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 19 practitioners
Practice locations: Chicago Heights, IL; Godfrey, IL; Marengo, IL; Plainfield, IL; Worth, IL
O20241004003418 ME Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 16 practitioners
Practice locations: Brunswick, ME; Morrill, ME
O20241004003574 CT Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 17 practitioners
Practice locations: Danbury, CT
O20241007002383 KS Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 6 practitioners
Practice locations: Shawnee, KS
O20241008001421 NC Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 25 practitioners
Practice locations: Fayetteville, NC
O20241010003212 AZ Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 21 practitioners
Practice locations: Phoenix, AZ
O20241012000133 WV Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 12 practitioners
Practice locations: Beckley, WV
O20241015002151 WY Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 13 practitioners
Practice locations: Atlantic City, WY
O20241017000258 KY Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 15 practitioners
Practice locations: Sweeden, KY
O20241024000548 PA Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 30 practitioners
Practice locations: Hatboro, PA; Meadville, PA
O20241031000794 ND Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 10 practitioners
Practice locations: Wahpeton, ND
O20241107000093 MS Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 11 practitioners
Practice locations: Hattiesburg, MS
O20241115001866 RI Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 10 practitioners
Practice locations: East Greenwich, RI
O20250121002174 TN Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 18 practitioners
Practice locations: Hermitage, TN
O20250124002520 GA Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 21 practitioners
Practice locations: Byron, GA; Suwanee, GA
O20250130001609 IN Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 23 practitioners
Practice locations: Carmel, IN
O20250218002813 HI Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 8 practitioners
Practice locations: Koloa, HI
O20250220001915 IA Part B Supplier - Clinic/Group Practice 5799136701 Receives reassigned benefits from 17 practitioners
Practice locations: Newton, IA

National Provider Directory

National Provider Directory
Tax ID family
Talkspace Provider Net PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2285 Benton Rd
#207
Bossier City, LA 71111
Phone (318) 423-0703

Practitioners & affiliated clinicians

Practitioners 408

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 408

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1639814049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038020659",
            "telephone_number": "212-284-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 BROADWAY # 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255642",
            "telephone_number": "212-284-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALKSPACE PROVIDER NETWORK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BENDERS-HADI",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-284-7206",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 28, 2025; 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.