Judith Wachsler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4111 18TH Ave
Brooklyn, NY 11218-5894

Phone

(718) 875-6900

Fax

(718) 875-6999

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Judith Blumenthal Other name

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pesach Tikvah Hope Development IncGroup PAC ID 2163311564, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pesach Tikvah Hope Development Inc

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1376598466
  Medicare reassignment Care Compare group NPD
• Pesach Tikvah Hope Development Inc

  dba Pesach Tikvah

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1740834191
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1962160770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304697",
            "telephone_number": "718-253-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185894",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSLER",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BLUMENTHAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nada Decruse Waanbah, M.D.
• Ashley Elizabeth Wabshinak
• Nadyia Wachill Poorustom
• Leah Fallon Wachs, DPT
• Rachel N Wachs, LMSW
• Shayna Wachsler
• Baila Wachsman, FNP-C
• Rachel Wachsman
• Jerry C. Wachtel, M.D.
• Jessica Addi Wachtel, MD

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.