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CIGNA Behavioral Directory

Date:05/25/2018 08:39 PM
Search Criteria:Provider Type:Individual, Zip Code:10075, Network Type:Behavioral Health
Network
___________________________________________________________
Provider ID: 4832259 Provider type: Individual
First Name: Jill Last Name: Abramson
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LCSW License Number(s): 046044 (NY)
NPI: 1184822173 Contract Status: Contracted
Last updated Date: 04/05/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adoption Issues, Alcohol/Sa - Self-report, Anxiety Disorder, Appointments-evening,
Depression, Dual Diagnosis, Eap: Assessment/Referral, Eap: Management Referrals, Eap: Supervisor
Training, Emdr Certified, Fertility Issues, Grief/Loss, Marital/Couples, Maternal Mental Health,
Medical Illness, Pain Management, Ptsd, Sexual Abuse/Incest, Sexual Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 511 E 80th St Ste 11f, New York, NY 10075
Phone Number: 917.439.6439
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2250499 Provider type: Individual
First Name: Jennie Last Name: Ackerman
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s): 034206 (NY)
NPI: 1164403341 Contract Status: Contracted
Last updated Date: 05/04/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Alcohol/Sa - Self-report, Anger Management, Anxiety Disorder, Bipolar Disorders,
Borderline Personality Disorders, Depression, Domestic Violence, Dual Diagnosis, Eap:
Assessment/Referral, Gay/Lesbian Issues, Gender Identity, Meet And Greet, Obsessive Compulsive
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 200 E 72nd St Ste 35m, New York, NY 10021
Phone Number: 212.472.7854
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4060142 Provider type: Individual
First Name: Naira Last Name: Ambarian
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s):
NPI: 1457568131 Contract Status: Contracted
Last updated Date: 11/02/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline Personality
Disorders, Conduct/Disruptive Disorder, Depression, Domestic Violence, Family Therapy, Medical
Illness, Medication Management, Meet And Greet, Psychotic Disorders
Board Certifications: None
Affiliated Clinic(s): Sunset Park Family Health Center
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2277411 Provider type: Individual
First Name: Susan Last Name: Baez
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s): 400833 (NY)
NPI: 1497713309 Contract Status: Contracted
Last updated Date: 09/27/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar Disorders,
Borderline Personality Disorders, Depression, Dissociative Disorder, Medication Management,
Obsessive Compulsive, Panic Disorders, Phobias, Psychotic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s): Spectrum Behavioral Health Management Services
Location 1 Details:
Location Address: 952 5th Ave Ste 1a, New York, NY 10075
Phone Number: 212.249.1600
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2623442 Provider type: Individual
First Name: Jacqueline Last Name: Barnett
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LP License Number(s): 11147 (NY)
NPI: 1073613477 Contract Status: Contracted
Last updated Date: 04/20/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar
Disorders, Depression, Eap: Management Referrals, Marital/Couples, Medical Illness, Meet And
Greet, Neuropsychological Testing, Obsessive Compulsive, Panic Disorders, Phobias, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 718.470.8762
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4723847 Provider type: Individual
First Name: Ami Last Name: Baxi
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: MD License Number(s): 267776 (NY)
NPI: 1104068808 Contract Status: Contracted
Last updated Date: 04/13/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Gujarati
Specialities: Addictionology (md Only), Family Therapy, Group Therapy, Inpatient Attending,
Women's Issues
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 111 E 77th St, New York, NY 10075
Phone Number: 212.434.3416
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 2 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5607151 Provider type: Individual
First Name: Ozlem Last Name: Bekar
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine
License Type: LP License Number(s): 021341 (NY)
NPI: 1821497421 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Turkish
Specialities: Adhd/Add, Adoption Issues, Anxiety Disorder, Autism - Testing, Autism - Treatment,
Depression, Developmental Disorder, Family Therapy, Grief/Loss, Maternal Mental Health, Obsessive
Compulsive, Panic Disorders, Psychological Testing, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3365
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5618365 Provider type: Individual
First Name: Afton Last Name: Bergel
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 273408 (NY)
NPI: 1346568334 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Bipolar Disorders, Depression, Inpatient Attending, Medication Management, Obsessive
Compulsive, Panic Disorders, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Available Only Through A Hospital Or Facility:06/21/2017 - 06/21/2099
___________________________________________________________
Provider ID: 86195 Provider type: Individual
First Name: Arleen Last Name: Bergen
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s): 025837 (NY)
NPI: 1093889461 Contract Status: Contracted
Last updated Date: 09/14/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Alcohol/Sa - Self-report, Anxiety Disorder, Appointments-evening, Appointments-
weekend, Depression, Dual Diagnosis, Eap: Assessment/Referral, Eap: Cir(critical Incident Response),
Eap: Management Referrals, Eating Disorder, Fertility Issues, Grief/Loss, Marital/Couples, Maternal
Mental Health, Medical Illness, Meet And Greet, Obsessive Compulsive, Pain Management, Panic
Disorders, Phobias, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 160 E 84 St Ste 2k, New York, NY 10028
Phone Number: 212.879.2974
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4238134 Provider type: Individual
First Name: Carol Last Name: Bernstein
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1891782793 Contract Status: Contracted
Last updated Date: 02/13/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Grief/Loss, Medical Illness, Medication Management, Obsessive Compulsive,
Psychotic Disorders
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 207 E 84th St, New York, NY 10028
Phone Number: 646.754.3300
Office Email Address:
QMI:
Panel Status: Not Accepting New Patients:02/13/2018 - 02/28/2021
___________________________________________________________
Provider ID: 5567795 Provider type: Individual
First Name: Inga Last Name: Blom
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine
License Type: LP License Number(s): 018776 (NY)
NPI: 1144534496 Contract Status: Contracted
Last updated Date: 12/12/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Adoption Issues, Alcohol/Sa - Self-report, Anxiety Disorder, Bipolar
Disorders, Borderline Personality Disorders, Depression, Dissociative Disorder, Dual Diagnosis,
Grief/Loss, Maternal Mental Health, Neuropsychological Testing, Panic Disorders, Psychological
Testing, Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3365
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2049530 Provider type: Individual
First Name: Susan Last Name: Bluestone
Licensed Name: Susan Bluestone Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s): 026530 (NY)
NPI: 1326102880 Contract Status: Contracted
Last updated Date: 10/27/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adoption Issues, Anxiety Disorder, Appointments-evening, Appointments-weekend,
Depression, Family Therapy, Marital/Couples
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 345 E 72nd St Ste 3c, New York, NY 10021
Phone Number: 212.628.1759
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5656158 Provider type: Individual
First Name: Claire Last Name: Brandon
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 278060 (NY)
NPI: 1861734899 Contract Status: Contracted
Last updated Date: 04/09/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Depression, Inpatient Attending, Medical Illness, Medication
Management
Board Certifications: Psychiatry, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 East 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5636960 Provider type: Individual
First Name: Judy Last Name: Burke
Licensed Name: Judy Burke Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 278710 (NY)
NPI: 1932543386 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Bipolar Disorders, Depression, Inpatient Attending, Medication
Management, Obsessive Compulsive, Psychotic Disorders, Ptsd
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4977068 Provider type: Individual
First Name: Andrene Last Name: Campbell
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 263918 (NY)
NPI: 1770807679 Contract Status: Contracted
Last updated Date: 04/13/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Conduct/Disruptive Disorder, Depression, Inpatient Attending, Medication Management, Obsessive
Compulsive, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4239886 Provider type: Individual
First Name: Victoria Last Name: Capobianco
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s):
NPI: 1912117144 Contract Status: Contracted
Last updated Date: 04/13/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Autism - Treatment, Bipolar Disorders, Borderline
Personality Disorders, Conduct/Disruptive Disorder, Depression, Developmental Disorder,
Dissociative Disorder, Eating Disorder, Medication Management
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5617458 Provider type: Individual
First Name: Rosa Last Name: Cataliotti
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s): 085133 (NY)
NPI: 1245651447 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Depression, Family Therapy, Psychotic
Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3312
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2030946 Provider type: Individual
First Name: Judy Last Name: Chang
Licensed Name: Degree: PSYD
Gender: Female Access Level: Routine
License Type: LP License Number(s):
NPI: 1891907358 Contract Status: Contracted
Last updated Date: 02/07/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Alcohol/Sa - Certified, Anxiety Disorder, Depression, Eating Disorder, Emdr Certified,
Family Therapy, Grief/Loss, Marital/Couples, Maternal Mental Health, Panic Disorders, Phobias, Ptsd,
Sexual Abuse/Incest, Sexual Disorders, Telehealth Offered
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 16 E 79th St Ste 41, New York, NY 10075
Phone Number: 831.238.0416
Office Email Address:
QMI:
Panel Status: Not Accepting Medicare Members:02/07/2017 - 02/07/2099
___________________________________________________________
Provider ID: 2109371 Provider type: Individual
First Name: Kathleen Last Name: Cilione
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine, Crisis 24/7
License Type: NP License Number(s): 4000392 (NY)
NPI: 1265586168 Contract Status: Contracted
Last updated Date: 11/14/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages: Spanish
Specialities: Adhd/Add, Aids/Hiv, Alcohol/Sa - Certified, Anger Management, Anxiety Disorder,
Appointments-evening, Bipolar Disorders, Borderline Personality Disorders, Conduct/Disruptive
Disorder, Depression, Dissociative Disorder, Domestic Violence, Dual Diagnosis, Fertility Issues,
Gambling Addiction, Gay/Lesbian Issues, Gender Identity, Grief/Loss, Marital/Couples, Maternal
Mental Health, Medical Illness, Medication Management, Obsessive Compulsive, Pain Management,
Panic Disorders, Phobias, Psychological Testing, Psychotic Disorders, Ptsd, Sexual Abuse/Incest,
Sexual Disorders, Sexual Offenders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 952 5th Ave Ste 1a, New York, NY 10075
Phone Number: 212.249.1600
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5635612 Provider type: Individual
First Name: Abigail Last Name: Connolly
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine
License Type: LP License Number(s):
NPI: 1194099952 Contract Status: Contracted
Last updated Date: 10/17/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Autism - Testing, Bipolar Disorders,
Depression, Dissociative Disorder, Neuropsychological Testing, Panic Disorders, Psychological
Testing, Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 180 E 79th St Ste 1c, New York, NY 10075
Phone Number: 718.441.0166
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5218839 Provider type: Individual
First Name: Stacie Last Name: Dee
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s):
NPI: 1306194014 Contract Status: Contracted
Last updated Date: 06/26/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Depression, Eating Disorder, Maternal
Mental Health, Medication Management, Panic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5622152 Provider type: Individual
First Name: Loren Last Name: Dent
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LP License Number(s): 021744 (NY)
NPI: 1770037152 Contract Status: Contracted
Last updated Date: 02/01/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Depression, Family Therapy,
Grief/Loss, Panic Disorders, Psychological Testing, Psychotic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 111 E 77th St, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 2 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.2365
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4539963 Provider type: Individual
First Name: Virginia Last Name: Desanctis
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine
License Type: LP License Number(s):
NPI: 1609143932 Contract Status: Contracted
Last updated Date: 04/17/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages: Spanish
Specialities: Medical Illness, Neuropsychological Testing
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 130 E 77th St, New York, NY 10075
Phone Number: 212.434.2275
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 2 Details:
Location Address: 176 E 77th St, New York, NY 10075
Phone Number: 242.434.6400
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 3 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.6400
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3341788 Provider type: Individual
First Name: Lauren Last Name: Devins
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s): 401108 (NY)
NPI: 1780851246 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Depression, Medication Management, Panic
Disorders, Psychotic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5132771 Provider type: Individual
First Name: Elizabeth Last Name: Ducat
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s): 401745 (NY)
NPI: 1306151279 Contract Status: Contracted
Last updated Date: 04/26/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Alcohol/Sa - Certified, Anger Management, Anxiety Disorder, Appointments-
evening, Bipolar Disorders, Borderline Personality Disorders, Depression, Dissociative Disorder,
Domestic Violence, Dual Diagnosis, Eating Disorder, Family Therapy, Fertility Issues, Gambling
Addiction, Gay/Lesbian Issues, Gender Identity, Grief/Loss, Marital/Couples, Mat: Vivitrol, Maternal
Mental Health, Medical Illness, Medication Management, Obsessive Compulsive, Pain Management,
Panic Disorders, Phobias, Psychological Testing, Psychotic Disorders, Ptsd, Sexual Abuse/Incest,
Sexual Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 952 5th Ave Ste 1a, New York, NY 10075
Phone Number: 212.249.1600
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2085295 Provider type: Individual
First Name: Sue Last Name: Elias
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LCSW-R License Number(s): 023475 (NY)
NPI: 1013088475 Contract Status: Contracted
Last updated Date: 03/17/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Adoption Issues, Anxiety Disorder, Appointments-evening, Borderline
Personality Disorders, Depression, Dual Diagnosis, Eap: Assessment/Referral, Eating Disorder,
Fertility Issues, Grief/Loss, Marital/Couples, Obsessive Compulsive, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 160 E 84th St Ste 2k, New York, NY 10028
Phone Number: 212.879.7490
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4431986 Provider type: Individual
First Name: Arusha Last Name: Farahani
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: MD License Number(s):
NPI: 1366687766 Contract Status: Contracted
Last updated Date: 08/31/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Medical Illness, Medication Management, Psychotic Disorders
Board Certifications: Psychiatry, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5582843 Provider type: Individual
First Name: Lisa Last Name: Francois
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine, Crisis 24/7
License Type: NP License Number(s):
NPI: 1043686496 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders, Depression,
Inpatient Attending, Medication Management, Obsessive Compulsive, Panic Disorders, Phobias,
Psychological Testing, Psychotic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.2843
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2093691 Provider type: Individual
First Name: Carol Last Name: Friedlander
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis Non 24/7
License Type: LCSW-R License Number(s): 015255 (NY)
NPI: 1669670642 Contract Status: Contracted
Last updated Date: 08/01/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Appointments-evening, Appointments-weekend,
Depression, Eap: Assessment/Referral, Marital/Couples, Obsessive Compulsive, Panic Disorders,
Phobias
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 240 E 79th St Apt 9a, New York, NY 10075
Phone Number: 212.737.5200
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5326822 Provider type: Individual
First Name: Nadya Last Name: Friedman
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: MD License Number(s):
NPI: 1811048911 Contract Status: Contracted
Last updated Date: 05/10/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Russian
Specialities: Anxiety Disorder, Appointments-evening, Appointments-weekend, Depression,
Medication Management
Board Certifications: Psychiatry, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3312
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5588225 Provider type: Individual
First Name: Georgia Last Name: Gaveras
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s): 235634 (NY)
NPI: 1801951090 Contract Status: Contracted
Last updated Date: 04/25/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Conduct/Disruptive Disorder,
Depression, Gender Identity, Inpatient Attending, Medication Management, Obsessive Compulsive,
Panic Disorders, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry, Child And
Adolescent Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Available Only Through A Hospital Or Facility:11/28/2016 - 11/28/2099
___________________________________________________________
Provider ID: 5614354 Provider type: Individual
First Name: Christina Last Name: Gerdes
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 271165 (NY)
NPI: 1396001681 Contract Status: Contracted
Last updated Date: 05/18/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline
Personality Disorders, Depression, Family Therapy, Gambling Addiction, Gay/Lesbian Issues,
Grief/Loss, Inpatient Attending, Medication Management
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5384948 Provider type: Individual
First Name: Danilynn Last Name: Gonzales De Claro
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1740581941 Contract Status: Contracted
Last updated Date: 10/20/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Inpatient Attending
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2079096 Provider type: Individual
First Name: Marlene Last Name: Goodfriend
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s): 042673 (NY)
NPI: 1568587392 Contract Status: Contracted
Last updated Date: 12/18/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Alcohol/Sa - Self-report, Anxiety Disorder, Appointments-evening, Appointments-
weekend, Borderline Personality Disorders, Depression, Eap: Assessment/Referral, Eap: Cir(critical
Incident Response), Grief/Loss, Men's Issues, Ptsd, Sexual Disorders, Telehealth Offered, Women's
Issues
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 336 E 86th St Ste 8e, New York, NY 10028
Phone Number: 212.472.9098
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 79955 Provider type: Individual
First Name: Lois Last Name: Greifer
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LP License Number(s): 009867 (NY)
NPI: 1801948153 Contract Status: Contracted
Last updated Date: 06/01/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adoption Issues, Anxiety Disorder, Appointments-evening, Depression, Fertility Issues,
Grief/Loss, Marital/Couples, Medical Illness
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 247 E 82nd St, New York, NY 10028
Phone Number: 212.249.0792
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 2 Details:
Location Address: 247 E 82nd St Ste 4, New York, NY 10028
Phone Number: 212.249.0792
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4901876 Provider type: Individual
First Name: Cynthia Last Name: Grguric
Licensed Name: Degree: MA
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LMHC License Number(s):
NPI: 1225167489 Contract Status: Contracted
Last updated Date: 05/24/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Appointments-evening, Depression, Domestic
Violence, Emdr Certified, Faith Based Counseling, First Responder, Grief/Loss, Marital/Couples,
Minority Issues, Pain Management, Panic Disorders, Phobias, Ptsd, Sexual Abuse/Incest, Sexual
Offenders, Telehealth Offered
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 1540 York Ave #1a, New York, NY 10028
Phone Number: 646.798.2391
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2073074 Provider type: Individual
First Name: Ellen Last Name: Henschel
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LCSW License Number(s):
NPI: 1972666055 Contract Status: Contracted
Last updated Date: 10/27/2016 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Appointments-weekend, Depression, Dual
Diagnosis, Grief/Loss, Obsessive Compulsive, Phobias
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 425 E 86th St Ste 1 D, New York, NY 10028
Phone Number: 212.369.7885
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2130915 Provider type: Individual
First Name: Elaine Last Name: Hicks
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: LCSW License Number(s): 024631 (NY)
NPI: 1407919426 Contract Status: Contracted
Last updated Date: 05/26/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Appointments-evening, Bipolar Disorders,
Depression, Eating Disorder, Family Therapy, Grief/Loss, Marital/Couples, Medical Illness, Pain
Management
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 520 E 85th St #1w, New York, NY 10028
Phone Number: 609.558.3645
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3077757 Provider type: Individual
First Name: Claudine Last Name: Higdon
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 231799 (NY)
NPI: 1134330327 Contract Status: Contracted
Last updated Date: 04/13/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Depression, Inpatient Attending,
Medication Management, Obsessive Compulsive, Panic Disorders, Psychotic Disorders
Board Certifications: Child And Adolescent Psychiatry, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5641376 Provider type: Individual
First Name: Gabriella Last Name: Inczedy-farkas
Licensed Name: Gabriella Inczedy Farkas Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 286665 (NY)
NPI: 1669813499 Contract Status: Contracted
Last updated Date: 03/16/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline Personality
Disorders, Depression, Marital/Couples, Medication Management, Obsessive Compulsive, Panic
Disorders, Phobias, Ptsd, Telehealth Offered
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5636970 Provider type: Individual
First Name: Aateqa Last Name: Ismail
Licensed Name: Aateqa Ismail Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 288645 (NY)
NPI: 1316388341 Contract Status: Contracted
Last updated Date: 04/13/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Inpatient Attending
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 20409 Provider type: Individual
First Name: Mary Ann Last Name: Juliano
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine
License Type: LP License Number(s):
NPI: 1114026135 Contract Status: Contracted
Last updated Date: 09/11/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Bipolar Disorders, Depression, Eap:
Assessment/Referral, Family Therapy, Marital/Couples, Obsessive Compulsive, Panic Disorders,
Phobias, Sexual Abuse/Incest, Sexual Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 225 E 79th St Ste 2d, New York, NY 10075
Phone Number: 212.249.7444
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2067532 Provider type: Individual
First Name: Eileen Last Name: Kaloudis
Licensed Name: Degree: PSYD
Gender: Female Access Level: Routine
License Type: LP License Number(s): 10035 (NY)
NPI: 1992921670 Contract Status: Contracted
Last updated Date: 10/22/2015 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Depression, Family Therapy, Group Therapy,
Marital/Couples, Psychological Testing
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 140 E 83rd St Ste 15a, New York, NY 10028
Phone Number: 212.288.5071
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3227811 Provider type: Individual
First Name: Mary Last Name: Kane
Licensed Name: Mary Kane Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s): 078670 (NY)
NPI: 1821234956 Contract Status: Contracted
Last updated Date: 05/07/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anger Management, Anxiety Disorder, Appointments-evening,
Appointments-weekend, Bipolar Disorders, Conduct/Disruptive Disorder, Depression, Eap:
Assessment/Referral, Eap: Cir(critical Incident Response), Eap: Employee Education, Eap:
Management Referrals, Eap: Supervisor Training, Family Therapy, First Responder, Gambling
Addiction, Grief/Loss
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 115 E 82nd St, New York, NY 10028
Phone Number: 914.562.9368
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 1020674 Provider type: Individual
First Name: Michelle Last Name: Kane
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s): 021079 (NY)
NPI: 1124182027 Contract Status: Contracted
Last updated Date: 03/09/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: French, Yiddish
Specialities: Adoption Issues, Anxiety Disorder, Appointments-evening, Appointments-weekend,
Bipolar Disorders, Depression, Developmental Disorder, Dual Diagnosis, Eap: Assessment/Referral,
Family Therapy, Fertility Issues, Marital/Couples, Phobias, Ptsd, Sexual Abuse/Incest
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 200 E 82nd St Ste 23a, New York, NY 10028
Phone Number: 646.761.4889
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5614886 Provider type: Individual
First Name: Ambika Last Name: Kataria
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1114331568 Contract Status: Contracted
Last updated Date: 04/16/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Conduct/Disruptive Disorder, Depression, Inpatient Attending, Medication Management, Obsessive
Compulsive, Panic Disorders, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5624955 Provider type: Individual
First Name: Eva Last Name: Kolb
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s): 276424 (NY)
NPI: 1750724951 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline Personality
Disorders, Conduct/Disruptive Disorder, Depression, Inpatient Attending, Obsessive Compulsive,
Panic Disorders, Phobias, Psychotic Disorders
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 70311 Provider type: Individual
First Name: Ulla Last Name: Laakso
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 174920 (NY)
NPI: 1598841371 Contract Status: Contracted
Last updated Date: 05/16/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages: Finnish, French, German, Swedish
Specialities: Anxiety Disorder, Bipolar Disorders, Depression, Ip Consult-md (cpt 99251-99255), Mat:
Vivitrol, Medication Management, Obsessive Compulsive, Phobias, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 910 Park Ave, New York, NY 10075
Phone Number: 212.517.3900
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3017792 Provider type: Individual
First Name: Li Last Name: Lan
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: MD License Number(s): 251114 (NY)
NPI: 1366683112 Contract Status: Contracted
Last updated Date: 01/31/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Chinese
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar
Disorders, Depression, Grief/Loss, Medication Management, Obsessive Compulsive, Panic Disorders,
Phobias, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 500 E 83rd St Ste 19m, New York, NY 10028
Phone Number: 718.239.0030
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5601384 Provider type: Individual
First Name: Brittany Last Name: Lemonda
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LP License Number(s): 021448 (NY)
NPI: 1659829356 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Bipolar Disorders, Depression,
Medical Illness, Neuropsychological Testing, Obsessive Compulsive, Panic Disorders, Psychological
Testing, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 130 E 77th St, New York, NY 10075
Phone Number: 212.434.6400
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 2 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.6400
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 3 Details:
Location Address: 176 E 77th St, New York, NY 10075
Phone Number: 212.434.6400
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5570194 Provider type: Individual
First Name: Lisa Last Name: Lerner
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s): 083655 (NY)
NPI: 1295057446 Contract Status: Contracted
Last updated Date: 08/16/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Danish, French, Spanish
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Appointments-weekend,
Depression, Emdr Certified, Family Therapy, Grief/Loss, Meet And Greet, Obsessive Compulsive,
Panic Disorders, Phobias, Ptsd, Sexual Abuse/Incest
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 425 E 86th St Ste 1a, New York, NY 10028
Phone Number: 347.607.8021
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5605548 Provider type: Individual
First Name: Qi Last Name: Ling
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 260960 (NY)
NPI: 1801094867 Contract Status: Contracted
Last updated Date: 02/08/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Aids/Hiv, Anger Management, Anxiety Disorder, Bipolar Disorders,
Borderline Personality Disorders, Conduct/Disruptive Disorder, Depression, Inpatient Attending, Mat:
Buprenorphine/Suboxone, Medication Management, Obsessive Compulsive, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2046216 Provider type: Individual
First Name: Janet Last Name: Lista
Licensed Name: Degree: MSSW
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: LCSW-R License Number(s): 016870 (NY)
NPI: 1760652135 Contract Status: Contracted
Last updated Date: 09/11/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Depression, Fertility Issues, Menopause,
Obsessive Compulsive, Panic Disorders, Phobias, Ptsd, Women's Issues
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 164 E 78th St Ste 1b, New York, NY 10075
Phone Number: 212.861.2383
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5622184 Provider type: Individual
First Name: Erica Last Name: Lo Re
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s): 285747 (NY)
NPI: 1356609911 Contract Status: Contracted
Last updated Date: 01/04/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Conduct/Disruptive Disorder, Depression, Inpatient Attending, Obsessive Compulsive, Panic
Disorders, Phobias, Psychotic Disorders
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 96690 Provider type: Individual
First Name: Fran Last Name: Luckom-nurnberg
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine
License Type: LP License Number(s): 7348 (NY)
NPI: 1649247230 Contract Status: Contracted
Last updated Date: 01/29/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Disability Man/Func. Cap. Assess., Disability Man/Hearing Impaired, Disability
Man/Psychiatric Rehab, Disability Man/Return-to-work, Family Therapy, Group Therapy, Meet And
Greet, Psychological Testing
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 444 E 82nd St Ste 12v, New York, NY 10028
Phone Number: 212.734.1926
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5545335 Provider type: Individual
First Name: Leslie Last Name: Marino
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 266433 (NY)
NPI: 1841581477 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Alcohol/Sa - Self-report, Anxiety Disorder, Bipolar Disorders, Depression, Inpatient
Attending, Medication Management, Psychotic Disorders
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5587578 Provider type: Individual
First Name: Cindy Last Name: Mauzoul
Licensed Name: Degree: MS
Gender: Female Access Level: Routine
License Type: NP License Number(s): 401938 (NY)
NPI: 1114397999 Contract Status: Contracted
Last updated Date: 03/24/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Depression, Dissociative Disorder, Medication Management, Obsessive Compulsive, Panic Disorders,
Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 7th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4658113 Provider type: Individual
First Name: Carolina Last Name: Mercader
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s): 271691 (NY)
NPI: 1225266695 Contract Status: Contracted
Last updated Date: 12/28/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Inpatient Attending
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Available Only Through A Hospital Or Facility:06/15/2017 - 06/15/2099
___________________________________________________________
Provider ID: 5595776 Provider type: Individual
First Name: Jennifer Last Name: Mesrie
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 277530 (NY)
NPI: 1669730776 Contract Status: Contracted
Last updated Date: 05/22/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline
Personality Disorders, Conduct/Disruptive Disorder, Depression, Family Therapy, Gay/Lesbian Issues,
Gender Identity, Inpatient Attending
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2100343 Provider type: Individual
First Name: Barbara Last Name: Meyer
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: LCSW License Number(s):
NPI: 1588682744 Contract Status: Contracted
Last updated Date: 11/03/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Alcohol/Sa - Self-report, Anxiety Disorder, Appointments-evening, Bipolar
Disorders, Depression, Developmental Disorder, Eating Disorder, Gay/Lesbian Issues, Grief/Loss,
Marital/Couples, Medical Illness, Panic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 1481 York Ave Apt 2, New York, NY 10075
Phone Number: 917.593.7904
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5645653 Provider type: Individual
First Name: Kristine Last Name: Milillo
Licensed Name: Kristine Milillo Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s): 401624 (NY)
NPI: 1265874200 Contract Status: Contracted
Last updated Date: 02/14/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Depression, Grief/Loss, Medication Management, Obsessive Compulsive, Panic Disorders, Psychotic
Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2087254 Provider type: Individual
First Name: Galina Last Name: Mindlin
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 218260 (NY)
NPI: 1316968274 Contract Status: Contracted
Last updated Date: 05/11/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Alcohol/Sa - Self-report, Anger Management, Anxiety Disorder, Autism -
Treatment, Eating Disorder, Gay/Lesbian Issues, Inpatient Attending, Obsessive Compulsive, Panic
Disorders, Phobias, Ptsd, Sexual Disorders
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 1000091 Provider type: Individual
First Name: Denise Last Name: Morett-schneider
Licensed Name: Degree: PSYD
Gender: Female Access Level: Routine, Intermediate
License Type: LP License Number(s):
NPI: 1992967368 Contract Status: Contracted
Last updated Date: 09/21/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Appointments-evening, Bipolar Disorders,
Conduct/Disruptive Disorder, Depression, Dissociative Disorder, Eating Disorder, Grief/Loss,
Obsessive Compulsive, Panic Disorders, Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 500 E 83rd St Ste 19m, New York, NY 10028
Phone Number: 718.239.0030
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5588866 Provider type: Individual
First Name: Natalie Last Name: Morrow
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s):
NPI: 1730356445 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Aids/Hiv, Anxiety Disorder, Appointments-evening, Bipolar Disorders, Depression,
Family Therapy, Gay/Lesbian Issues, Marital/Couples, Obsessive Compulsive, Panic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 178 E 85th St 2nd Fl, New York, NY 10028
Phone Number: 212.434.6776
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5576697 Provider type: Individual
First Name: Christina Last Name: Nolan
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s):
NPI: 1639539117 Contract Status: Contracted
Last updated Date: 03/06/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-weekend, Bipolar Disorders, Depression, Eap:
Assessment/Referral, Eap: Management Referrals, Home Visits, Medical Illness, Meet And Greet,
Obsessive Compulsive, Phobias, Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 425 E 86th St Ste 1a, New York, NY 10028
Phone Number: 646.617.9148
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 1035119 Provider type: Individual
First Name: Rona Dee Last Name: Okin
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s):
NPI: 1194900308 Contract Status: Contracted
Last updated Date: 07/24/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adoption Issues, Alcohol/Sa - Self-report, Anger Management, Anxiety Disorder,
Appointments-evening, Appointments-weekend, Depression, Dialectical Behavior Therapy, Dual
Diagnosis, Eap: Assessment/Referral, Eap: Management Referrals, Eating Disorder, Family Therapy,
Fertility Issues, Gambling Addiction, Grief/Loss, Home Visits, Marital/Couples, Maternal Mental
Health, Medical Illness, Obsessive Compulsive, Panic Disorders, Phobias, Ptsd, Telehealth Offered
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 511 E 80th St Ste Lh, New York, NY 10075
Phone Number: 212.734.6546
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3224045 Provider type: Individual
First Name: Dalia Last Name: Olivier
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 244307 (NY)
NPI: 1801081518 Contract Status: Contracted
Last updated Date: 04/05/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Spanish
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar
Disorders, Depression, Grief/Loss, Medication Management, Panic Disorders, Psychotic Disorders,
Ptsd, Telehealth Offered
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry
Affiliated Clinic(s): Sunset Terrace Family And Mental Health Center
Location 1 Details:
Location Address: 58 E 116th St, New York, NY 10028
Phone Number: 212.876.9700
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2793588 Provider type: Individual
First Name: Khatija Last Name: Paperwalla
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1114061538 Contract Status: Contracted
Last updated Date: 11/21/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Bipolar Disorders, Depression, Inpatient Attending, Panic Disorders,
Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2016819 Provider type: Individual
First Name: Beverly Last Name: Pazur
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 206132 (NY)
NPI: 1205944287 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Anxiety Disorder, Depression, Medication Management
Board Certifications: Psychiatry, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 111 E 77th St, New York, NY 10075
Phone Number: 212.434.2181
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
Location 2 Details:
Location Address: 100 East 77th St, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4393864 Provider type: Individual
First Name: Pamela Last Name: Polizzi
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s):
NPI: 1851677918 Contract Status: Contracted
Last updated Date: 01/11/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar Disorders,
Depression, Eating Disorder, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 115 E 82nd St Ste 1a-2, New York, NY 10028
Phone Number: 929.367.7722
Office Email Address: Ppolizzi1@gmail.com
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2915785 Provider type: Individual
First Name: Seema Last Name: Quraishi
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Intermediate,
Crisis Non 24/7
License Type: MD License Number(s):
NPI: 1740393271 Contract Status: Contracted
Last updated Date: 06/10/2016 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Bipolar Disorders, Depression, Inpatient
Attending, Medication Management, Panic Disorders, Psychotic Disorders
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 500 E 83rd St Ste 19m, New York, NY 10028
Phone Number: 718.239.0030
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2240814 Provider type: Individual
First Name: Lina Last Name: Rana
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1033229273 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Gujarati
Specialities: Adhd/Add, Anxiety Disorder, Depression, Inpatient Attending, Medication Management,
Obsessive Compulsive, Panic Disorders, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s): Palisade Behavioral Care
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 718.470.3000
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5613655 Provider type: Individual
First Name: Alanna Last Name: Rodriguez
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s): 401963 (NY)
NPI: 1245524628 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Conduct/Disruptive Disorder, Depression, Medication Management, Obsessive Compulsive, Panic
Disorders, Psychotic Disorders, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5575202 Provider type: Individual
First Name: Anne Last Name: Rohs
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: MD License Number(s):
NPI: 1205136280 Contract Status: Contracted
Last updated Date: 10/03/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Depression, Dissociative Disorder, Obsessive Compulsive, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 952 5th Ave Ste 1a, New York, NY 10075
Phone Number: 212.249.1600
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3039758 Provider type: Individual
First Name: Jan Last Name: Roth-hauptman
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Intermediate
License Type: LP License Number(s): 009624 (NY)
NPI: 1467411512 Contract Status: Contracted
Last updated Date: 10/23/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Depression, Meet And Greet, Obsessive
Compulsive, Panic Disorders, Phobias, Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 500 E 83rd St Ste 19m, New York, NY 10028
Phone Number: 718.239.0030
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4033910 Provider type: Individual
First Name: Hedda Last Name: Rudoff
Licensed Name: Degree: MA
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: LCSW License Number(s): 027024 (NY)
NPI: 1750490496 Contract Status: Contracted
Last updated Date: 03/09/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Borderline Personality Disorders, Depression,
Grief/Loss, Marital/Couples, Medical Illness
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 180 E 79th St #1c, New York, NY 10075
Phone Number: 212.744.3700
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5609149 Provider type: Individual
First Name: Elizabeth Last Name: Sable
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s):
NPI: 1194189993 Contract Status: Contracted
Last updated Date: 01/02/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Alcohol/Sa - Self-report, Anger Management, Anxiety Disorder, Bipolar Disorders,
Depression, Dual Diagnosis, Grief/Loss, Medical Illness, Panic Disorders, Phobias, Psychotic
Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.343.3365
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3809931 Provider type: Individual
First Name: Lourdes Last Name: Sanchez
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LCSW-R License Number(s): 045840 (NY)
NPI: 1023180247 Contract Status: Contracted
Last updated Date: 10/11/2016 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: African American Issues, Anxiety Disorder, Appointments-evening, Appointments-
weekend, Depression, Gay/Lesbian Issues, Grief/Loss, Hispanic Issues, Marital/Couples, Menopause,
Minority Issues, Women's Issues
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 110 W 96th St #5t, New York, NY 10075
Phone Number: 718.483.2971
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5567781 Provider type: Individual
First Name: Nicole Last Name: Sandberg
Licensed Name: Degree: MSN
Gender: Female Access Level: Routine
License Type: NP License Number(s): 401946 (NY)
NPI: 1639546336 Contract Status: Contracted
Last updated Date: 12/22/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Alcohol/Sa - Self-report, Anger Management, Anxiety Disorder, Bipolar
Disorders, Conduct/Disruptive Disorder, Depression, Medication Management, Obsessive
Compulsive, Panic Disorders, Phobias, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2183411 Provider type: Individual
First Name: Zarna Last Name: Shah
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: LCSW License Number(s): 069432 (NY)
NPI: 1831209857 Contract Status: Contracted
Last updated Date: 01/09/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages: Gujarati, Hindi
Specialities: Anger Management, Anxiety Disorder, Appointments-evening, Depression, Emdr
Certified, Gender Identity, Marital/Couples, Medical Illness, Meet And Greet, Obsessive Compulsive,
Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th Ave Ste C101, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5565123 Provider type: Individual
First Name: Polina Last Name: Shats
Licensed Name: Polina Shats Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s): 286389 (NY)
NPI: 1235441320 Contract Status: Contracted
Last updated Date: 01/10/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Inpatient Attending
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3529925 Provider type: Individual
First Name: Pamela Last Name: Siller
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 237396 (NY)
NPI: 1295887396 Contract Status: Contracted
Last updated Date: 04/16/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders,
Conduct/Disruptive Disorder, Depression, Medication Management, Obsessive Compulsive, Panic
Disorders, Psychotic Disorders, Ptsd
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry, Child And
Adolescent Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 15451 Provider type: Individual
First Name: Jane Last Name: Simon
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s): 103375 (NY)
NPI: 1124182829 Contract Status: Contracted
Last updated Date: 05/18/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline
Personality Disorders, Conduct/Disruptive Disorder, Depression, Family Therapy, Marital/Couples,
Medical Illness, Medication Management
Board Certifications: Psychiatry, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 952 5th Ave Ste 1a, New York, NY 10075
Phone Number: 212.249.1600
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4240311 Provider type: Individual
First Name: Brenda Last Name: Sinsheimer
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: MD License Number(s):
NPI: 1649397811 Contract Status: Contracted
Last updated Date: 11/13/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar
Disorders, Depression, Family Therapy, Fertility Issues, Grief/Loss, Marital/Couples, Medical Illness,
Medication Management, Men's Issues, Menopause, Obsessive Compulsive, Panic Disorders, Phobias,
Women's Issues
Board Certifications: American Board Of Psychiatry & Neurology, Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 425 E 86th St, New York, NY 10028
Phone Number: 212.222.6206
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2163092 Provider type: Individual
First Name: Sharon Last Name: Sommers
Licensed Name: Degree: PSYD
Gender: Female Access Level: Routine
License Type: LP License Number(s): 015088 (NY)
NPI: 1356490353 Contract Status: Contracted
Last updated Date: 01/03/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Sign Language American
Specialities: Aids/Hiv, Appointments-evening, Appointments-weekend, Family Therapy, Grief/Loss,
Meet And Greet, Psychological Testing, Ptsd, Women's Issues
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 157 E 86th St Ste 2a, New York, NY 10028
Phone Number: 212.696.6635
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2863875 Provider type: Individual
First Name: Carole Last Name: Spivack
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis 24/7
License Type: LCSW License Number(s): 45671 (NY)
NPI: 1295810075 Contract Status: Contracted
Last updated Date: 05/25/2016 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Adoption Issues, Anger Management, Anxiety Disorder, Appointments-evening, Bipolar
Disorders, Depression, Eap: Assessment/Referral, Eap: Cir(critical Incident Response), Family
Therapy, Grief/Loss, Marital/Couples, Panic Disorders, Phobias
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 425 E 86th St Ste 1a, New York, NY 10028
Phone Number: 212.534.7270
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5360756 Provider type: Individual
First Name: Marianne Last Name: Tateosian
Licensed Name: Degree: DO
Gender: Female Access Level: Routine
License Type: DO License Number(s): 268594 (NY)
NPI: 1649403874 Contract Status: Contracted
Last updated Date: 05/11/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Aids/Hiv, Alcohol/Sa - Self-report, Anxiety Disorder, Autism - Social Skills
Group, Bipolar Disorders, Borderline Personality Disorders, Conduct/Disruptive Disorder, Depression,
Domestic Violence, Dual Diagnosis, Eating Disorder, Grief/Loss, Inpatient Attending, Medication
Management, Obsessive Compulsive
Board Certifications: Child And Adolescent Psychiatry, American Board Of Psychiatry &
Neurology, Psychiatry
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.2830
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4697860 Provider type: Individual
First Name: Mirela Last Name: Toma-opruta
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: MD License Number(s): 256175 (NY)
NPI: 1679732911 Contract Status: Contracted
Last updated Date: 04/20/2017 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages: Romanian
Specialities: Anger Management, Anxiety Disorder, Appointments-weekend, Bipolar Disorders,
Depression, Dissociative Disorder, Medical Illness, Medication Management, Obsessive Compulsive,
Panic Disorders, Phobias, Psychotic Disorders
Board Certifications: None, American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 500 E 83rd St Ste 19m, New York, NY 10028
Phone Number: 718.239.0030
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4952177 Provider type: Individual
First Name: Viktoria Last Name: Toth
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1295052363 Contract Status: Contracted
Last updated Date: 12/28/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: German, Hungarian
Specialities: Bipolar Disorders, Depression, Medical Illness, Psychotic Disorders
Board Certifications: American Board Of Psychiatry & Neurology
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 888.321.3627
Office Email Address: Fpp_newport@northwell.edu
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 3709758 Provider type: Individual
First Name: Kelly Last Name: Trevino
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Intermediate
License Type: LP License Number(s):
NPI: 1891994562 Contract Status: Contracted
Last updated Date: 04/04/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anger Management, Anxiety Disorder, Depression, Grief/Loss, Marital/Couples, Medical
Illness, Meet And Greet, Panic Disorders, Phobias
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 1484 1st Ave, New York, NY 10075
Phone Number: 212.746.7000
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2941805 Provider type: Individual
First Name: Lorraine Last Name: Vestris
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW-R License Number(s): 033860 (NY)
NPI: 1568522613 Contract Status: Contracted
Last updated Date: 07/20/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Borderline Personality Disorders, Depression,
Obsessive Compulsive
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 223 E 78th St, New York, NY 10075
Phone Number: 212.288.8159
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2088283 Provider type: Individual
First Name: Anna Last Name: Wachtel
Licensed Name: Degree: MD
Gender: Female Access Level: Routine
License Type: MD License Number(s):
NPI: 1861662371 Contract Status: Contracted
Last updated Date: 04/26/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Hebrew, Italian, Polish, Russian
Specialities: Adhd/Add, Alcohol/Sa - Self-report, Anxiety Disorder, Bipolar Disorders, Depression,
Eating Disorder, Grief/Loss, Medical Illness, Medication Management, Obsessive Compulsive, Ptsd,
Women's Issues
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 103 E 84th St #1a, New York, NY 10028
Phone Number: 212.534.8816
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4457847 Provider type: Individual
First Name: Frances Last Name: Wen-hui Lee
Licensed Name: Degree: MD
Gender: Female Access Level: Routine, Crisis 24/7
License Type: MD License Number(s):
NPI: 1326211590 Contract Status: Contracted
Last updated Date: 03/23/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Appointments-evening, Inpatient Attending, Medication Management,
Obsessive Compulsive, Psychotic Disorders, Ptsd
Board Certifications: None
Affiliated Clinic(s):
Location 1 Details:
Location Address: 100 E 77th St, New York, NY 10075
Phone Number: 212.434.3042
Office Email Address:
QMI:
Panel Status: Not Accepting Medicare Members:03/23/2018 - 03/23/2099
___________________________________________________________
Provider ID: 5248790 Provider type: Individual
First Name: Margaret Last Name: Whitsett
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s):
NPI: 1801295548 Contract Status: Contracted
Last updated Date: 03/21/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Psychotic Disorders
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 111 E 77th St, New York, NY 10075
Phone Number: 212.434.3966
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2187075 Provider type: Individual
First Name: Cynthia Last Name: Willis
Licensed Name: Degree: MSSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s): 033897 (NY)
NPI: 1881756187 Contract Status: Contracted
Last updated Date: 04/24/2018 Participating Network: Behavioral Health and
EAP
Hospital Admitting Privileges:
Provider Languages:
Specialities: Appointments-evening, Borderline Personality Disorders, Depression, Eating Disorder,
Emdr Certified, Marital/Couples
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 301 E 79th St Ste 26m, New York, NY 10075
Phone Number: 212.249.2968
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 1006672 Provider type: Individual
First Name: Eva Last Name: Wolfsohn
Licensed Name: Eva Wolfsohn Degree: MSW
Gender: Female Access Level: Routine, Intermediate,
Crisis Non 24/7
License Type: LCSW-R License Number(s): 22007 (NY)
NPI: 1992808034 Contract Status: Contracted
Last updated Date: 10/24/2017 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: German
Specialities: Anxiety Disorder, Appointments-evening, Depression, Emdr Certified, Marital/Couples,
Panic Disorders, Phobias
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 240 E 86th St #18m, New York, NY 10028
Phone Number: 212.831.3325
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4423884 Provider type: Individual
First Name: Halley Last Name: Wolowiec
Licensed Name: Degree: MA
Gender: Female Access Level: Routine, Crisis 24/7
License Type: LMHC License Number(s):
NPI: 1528211513 Contract Status: Contracted
Last updated Date: 06/17/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages: Afar
Specialities: Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar Disorders,
Depression, Dual Diagnosis, Grief/Loss, Marital/Couples, Multicultural, Ptsd, Women's Issues
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 39 E 78th St Ste 501, New York, NY 10075
Phone Number: 917.459.1911
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 4257893 Provider type: Individual
First Name: Alice Last Name: Wolson
Licensed Name: Degree: DSW
Gender: Female Access Level: Routine, Intermediate
License Type: LCSW License Number(s): 017473 (NY)
NPI: 1053410399 Contract Status: Contracted
Last updated Date: 10/24/2016 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders, Depression,
Developmental Disorder, Family Therapy, Grief/Loss, Marital/Couples, Medical Illness, Meet And
Greet, Ptsd
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 125 E 84th St #1a, New York, NY 10028
Phone Number: 917.710.2460
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 5664923 Provider type: Individual
First Name: Lucinda Last Name: Zilkha
Licensed Name: Degree: MSW
Gender: Female Access Level: Routine
License Type: LCSW License Number(s): 081969 (NY)
NPI: 1235452525 Contract Status: Contracted
Last updated Date: 05/21/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Adhd/Add, Anxiety Disorder, Appointments-evening, Depression, Family Therapy
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 185 E 85 St Ste 4, New York, NY 10028
Phone Number: 917.721.9019
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
Provider ID: 2010497 Provider type: Individual
First Name: Phyllis Last Name: Zilkha
Licensed Name: Degree: PHD
Gender: Female Access Level: Routine, Crisis Non 24/7
License Type: LP License Number(s): 011742 (NY)
NPI: 1164619854 Contract Status: Contracted
Last updated Date: 04/09/2018 Participating Network: Behavioral Health and
EAP

Hospital Admitting Privileges:


Provider Languages:
Specialities: Anxiety Disorder, Appointments-evening, Depression, Eap: Assessment/Referral, Family
Therapy, Fertility Issues, Gay/Lesbian Issues, Grief/Loss, Group Therapy, Marital/Couples, Medical
Illness, Obsessive Compulsive, Panic Disorders, Telehealth Offered
Board Certifications:
Affiliated Clinic(s):
Location 1 Details:
Location Address: 151 E 90th St Ste 1c, New York, NY 10028
Phone Number: 212.988.7170
Office Email Address:
QMI:
Panel Status: Accepting New and Existing Patients
___________________________________________________________
General Disclosures

How Do I Use My Benefits?

For mental health and substance abuse benefits, you may select a practitioner from this list and schedule an
appointment. You must be eligible for coverage by Cigna and have outpatient benefits remaining.

Find out more about the doctors, services and cost estimates shown in the myCigna directory and read important
notices and disclosures for your state.
The listing of a provider in this directory does not guarantee that the services rendered by that provider are covered
under your specific plan. This listing is subject to change. Please check the materials that describe your particular
benefits.
If you need emergency services, please go immediately to the nearest emergency room or behavioral health facility.
Your plan benefits will apply to services needed to evaluate or stabilize treatment for a condition that is reasonably
considered to be an emergency behavioral health condition.
Disclosures

The information in this directory is accurate to the best of Cigna's knowledge as of the time of the last update. This
information is subject to change at any time. We do not guarantee that each provider is still accepting new patients.
To get the most up-to-date information about the network providers in your area, use our online directory
(CignaBehavioral.com) or call Cigna Customer Service for a printed copy, at the toll-free number on the back of your
Cigna ID card. In addition, please check with the health care professional before scheduling your appointment or
receiving services to confirm he or she is participating in Cigna's behavioral network.

Source of Information and Frequency of Validation

Behavioral health care professional information addressing specialty, hospital affiliations, medical group affiliations,
board certification, acceptance of new patients and languages spoken is obtained from an application that is
completed and signed by the health care professional/facility (during credentialing). Physician board certification is
validated through the American Board of Medical Specialties (ABMS) and the American Board of Psychiatry and
Neurology. Information on the application is updated when the behavioral health care professional/facility notifies
Cigna of changes or at least every three years.

REPORT INACCURATE INFORMATION

If you see inaccurate information for a health care provider, please help us improve your experience by reporting it
using one of the following options:

Report by Phone:
Call 800.274.7603
Send an email to BehavioralPDM@Cigna.com and include the following information:
1. Facility or health care professional's information as it is displayed in the directory (name, address, and specialty)
2. The information you would like to corrected, such as name, address, phone number,etc.

Thank you! Cigna will verify the information you have provided and ensure it is corrected accordingly.

If you believe you relied upon materially inaccurate, incomplete, or misleading Directory information, you may file a
complaint by calling the number or writing to the address on the back of your Cigna ID card.

LANGUAGE ASSISTANCE and ACCESS

Directory listings include languages other than English (if any), spoken by the health care professional (HCP) or by
an office staff member who the HCP has identified as a qualified medical interpreter. However if you have difficulty
understanding English, we offer language assistance and interpretation services at no cost to you. For help please
call the Customer Service number on the back of your ID card. If you do not have or are unable to locate your ID
card, please call 1.800.274.7603.

If you have a hearing or speech loss and use Telecommunications Relay Services (TRS) or a Text Telephone (TTY
), dial 711 to connect with a TRS operator.

Si le cuesta comunicarse en inglés, ofrecemos asistencia de idioma y servicios de interpretación sin costo alguno
para usted. Para obtener ayuda, comuníquese con el námero de Servicio al cliente que figura en la parte de atrás de
su tarjeta de identificación. Si usted no tiene o no puede encontrar su tarjeta de identificación, llame al
1.800.274.7603. Si tiene algún impedimento auditivo o del habla y desea usar el servicio de retransmisión de
telecomunicaciones (TRS, por sus siglas en inglés) o un teléfono de texto (TTY, por sus siglas en inglés), marque
711 para comunicarse con un operador del TRS.

We expect our contracted providers to meet all applicable federal requirements for accessibility as specified in the
Americans' with Disabilities Act (ADA) and its regulations. In general, the ADA requires that health care providers
offer individuals with disabilities full and equal access to their health care services and facilities, however there can
be some exceptions. In order to ensure a provider's location meets your own access needs please contact that
provider directly before scheduling an appointment to obtain care.

WHAT DOES A DOCTOR NEED TO DO TO BE IN CIGNA'S NETWORK?

Before joining the Cigna network of contracted doctors, health care professionals must meet Cigna standards
through a process called credentialing. We regularly review doctors' credentials to ensure they continue to meet
these standards.

NAME OF NETWORK

For current customers, always refer to your ID card for help to determine the name of your Cigna network and benefit
plan or to identify the health care providers that are in-network for your plan. If you are a potential customer, please
refer to the benefit plan and network names included in your enrollment materials.

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