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DESPINA PETSAGOURAKIS MA
NPI 1447742044
Psychologist - Clinical Child & Adolescent in New York, NY

Active since May 31, 2018PECOS Enrolled
1 PARK AVE FL 7, NEW YORK, NY 10016(646) 754-5000 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Despina Petsagourakis Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESPINA PETSAGOURAKIS MA (NPI 1447742044) is an individual clinical child & adolescent provider in New York, New York, licensed in New York (025838) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlestown.

NPPES Registry Identity

NPI1447742044
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDESPINA PETSAGOURAKISCredential: MA
Location Address1 PARK AVE FL 7New York, NY 10016-5818
Mailing Address1 Park AveNew York, NY 10016-5802 · (646) 754-5000
Phone(646) 754-5000
Sole ProprietorNo
Enumeration DateMay 31, 2018
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1447742044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 025838
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 PARK AVE FL 7, New York, NY 10016
Open in Google Maps ↗

Secondary Practice Location 1

Location 173 High St, MGH Charlestown HealthCare CenterCharlestown, MA 02129-3026 · Phone (617) 726-3648

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Despina Petsagourakis Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Despina Petsagourakis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LAURA MICHELE RADEMEYER MD
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5000
RAHIL KAMATH PSYM
Student in an Organized Health Care Education/Training Program
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5000
DR. ASHLEY LARA VALENCIA MD
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (509) 969-6493
HALEY RYAN BERKA
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5414
LORIEN BAKER PHD
Psychologist (Clinical Child & Adolescent)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-7245
GRACE GLIDDEN GERACIOTI LMSW
Social Worker
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5164
DR. WILLIAM H COE MD, MPH
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5419
DR. ROBIN DU MD, MPH
Psychiatry & Neurology (Psychiatry)
1 PARK AVE FL 7
NEW YORK, NY 10016
New York County (646) 754-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Despina Petsagourakis's NPI number?

The NPI number for Despina Petsagourakis is 1447742044. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Despina Petsagourakis located?

Despina Petsagourakis practices at 1 Park Ave Fl 7, New York, NY 10016. The listed phone number is (646) 754-5000.

What is Despina Petsagourakis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Despina Petsagourakis enrolled in Medicare?

Yes. Despina Petsagourakis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Despina Petsagourakis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Despina Petsagourakis reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Despina Petsagourakis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Despina Petsagourakis accept?

Health plans from Oscar Health list Despina Petsagourakis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Despina Petsagourakis was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.