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GARY SHERESHEVSKY PH.D.
NPI 1477877199
Psychologist - Clinical in Brooklyn, NY

Active since March 24, 2010PECOS Enrolled
5110 12TH AVE, BROOKLYN, NY 11219(800) 275-3243(718) 854-8308 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gary Shereshevsky Ph.d. NPPES

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

GARY SHERESHEVSKY PH.D. (NPI 1477877199) is an individual clinical provider in Brooklyn, New York, licensed in New York (018473-1) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477877199
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameGARY SHERESHEVSKYCredential: PH.D.
Location Address5110 12TH AVEBrooklyn, NY 11219-3424
Mailing Address5110 12th AveBrooklyn, NY 11219-3424 · (800) 275-3243 · Fax (718) 854-8308
Phone(800) 275-3243
Fax(718) 854-8308
Sole ProprietorNo
Enumeration DateMarch 24, 2010
✔ NPI 1477877199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 018473-1
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5110 12TH AVE, Brooklyn, NY 11219
Open in Google Maps ↗

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)

Gary Shereshevsky Ph.d. 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 Reassignments

2

Medicare enrollment records show Gary Shereshevsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Che Senior Psychological Services, PC
4.2 mi
Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
NPI 1023078219 (888) 515-3834
Knapp Street Psychiatry, PC
4.4 mi
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1043248776 (888) 515-3834

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KIMBERLY PARTINGTON PSYD
Specialist
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
RITA LOMBARDI
Counselor (Mental Health)
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
SARA MURRAY PSY.D.
Psychologist (Clinical)
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
PAUL LEWIS SHAPIRO
Psychologist (Clinical)
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
MAR AT HOME OCCUPATIONAL THERAPY SERVICES PC
Occupational Therapist
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
TOBY L KATZ OT
Chiropractor (Occupational Health)
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
MARGARITA BOUGIOUKAS ADELSKY PHD
Psychologist (Clinical)
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243
ARTHUR DAVID LEWIS PSYD
Psychologist
5110 12TH AVE
BROOKLYN, NY 11219
Kings County (800) 275-3243

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 Gary Shereshevsky's NPI number?

The NPI number for Gary Shereshevsky is 1477877199. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Gary Shereshevsky located?

Gary Shereshevsky practices at 5110 12th Ave, Brooklyn, NY 11219. The listed phone number is (800) 275-3243.

What is Gary Shereshevsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gary Shereshevsky enrolled in Medicare?

Yes. Gary Shereshevsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gary Shereshevsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Shereshevsky reassigns Medicare benefits to 2 organizations: Che Senior Psychological Services, PC (Brooklyn, NY) and Knapp Street Psychiatry, PC (Brooklyn, NY). Each 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 Gary Shereshevsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Shereshevsky accept?

Health plans from Oscar Health list Gary Shereshevsky 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 Gary Shereshevsky was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.