Individual provider Active NPI

Eshika Kalam

  • Mental Health Counselor
  • Rego Park, NY
National Provider Identifier
1669879250
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008186 Issued in NY
Practice address
6511 Booth Street, Suite 1a
Rego Park, NY 11374-4184
Phone
(917) 933-0584
Fax
(718) 806-1435
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 008186 NY Primary

Addresses

Primary practice location

6511 Booth Street, Suite 1a
Rego Park, NY 11374-4184

Mailing address

6511 Booth Street, Suite 1a
Rego Park, NY 11374-4184
Phone (917) 933-0584

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
I20240205003811 NY Practitioner - Mental Health Counselor 5496198640 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Jan 1, 2024 Accepting new patients
The Institute for Family Health CurrentSince Jan 1, 2024 Accepting new patients
Queens Nassau Mental Health Counseling PLLC Mental Health CurrentSince Mar 9, 2024 Accepting new patients

Locations

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

251 W 80th St
New York, NY 10024

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
Fl 68
New York, NY 10011

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

9308 Queens Blvd
#1B
Rego Park, NY 11374

Organizations & group practices 4

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": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1669879250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 BOOTH STREET, SUITE 1A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "917-933-0584",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 BOOTH STREET, SUITE 1A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "917-933-0584",
            "fax_number": "718-806-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAM",
        "first_name": "ESHIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.