Dr. Paul Poulakos DO, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DR. PAUL POULAKOS DO, PLLC

Practice address

412 6TH Ave FL 7
New York, NY 10011-8409

Phone

(850) 692-9355

Fax

(833) 337-2089

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Paul Poulakos, DONPI 1558715383

Title

Physician

Phone

(850) 692-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 3

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

• Paul Emmanuel Poulakos, D.O.

  • Psychiatry Physician
  • New York, NY
  • NPI 1558715383
  NPD Authorized official
• Sean Thomas Lynch, MD

  • Psychiatry Physician
  • New York, NY
  • NPI 1437735925
  NPD (past)
• Briana Van Verdeghem, MD

  • Psychiatry Physician
  • Newport, RI
  • NPI 1750968731
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1831820026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 6TH AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118409",
            "telephone_number": "850-692-9355",
            "fax_number": "833-337-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 6TH AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118409",
            "telephone_number": "850-692-9355",
            "fax_number": "833-337-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL POULAKOS DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-01-31",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "POULAKOS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-692-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558715383",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charm",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "26 W 9th st",
            "address_2": "suite 4e, Room 1",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100111001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. Michael C. Smatt
• Dr. Michael J. Newton M.D.
• Dr. Michelle Sheets Clinical Psychologist PLLC
• Dr. Miller Psychological Services PLLC
• Dr. Nanette Chiropractic, PLLC
• Dr. Raeann M. Zschokke, DC, PLLC
• Dr. Ramon Valderrama M.D., PC
• Dr. Rena Miller Psychological Services PLLC
• Dr. Ricardo E Pou Physician P.C.
• Dr. Richard Glisker, Psychologist, PLLC

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.