NPI: 1609315423 · LINDENHURST, NY 11757 · Exclusive Provider Organization · NPI assigned 02/13/2017
| Authorized Official | SULLIVAN, JACLYN (OWNER) |
| NPI Enumeration Date | 02/13/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 66 | $5K |
| 2021 | 505 | $38K |
| 2022 | 655 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 1,226 | 421 | $89K |