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DR. PAUL EMMANUEL POULAKOS D.O.
NPI 1558715383
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 18, 2016PECOS Enrolled
412 6TH AVENUE, FL 7, SUITE 702, NEW YORK, NY 10011(850) 692-9355 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 3, 2024, Jan 21, 2021 (2 updates tracked since 2021).

About Dr. Paul Emmanuel Poulakos D.o. NPPES

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

DR. PAUL EMMANUEL POULAKOS D.O. (NPI 1558715383) is an individual psychiatry provider in New York, New York, licensed in New York (295681) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558715383
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PAUL EMMANUEL POULAKOSCredential: D.O.
Location Address412 6TH AVENUE, FL 7, SUITE 702New York, NY 10011
Mailing Address412 6th Avenue, 7th Floor, Suite 702New York, NY 10011 · (850) 692-9355
Phone(850) 692-9355
Sole ProprietorYes
Enumeration DateApril 18, 2016
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1558715383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 295681
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
412 6TH AVENUE, New York, NY 10011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Emmanuel Poulakos D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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

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

DR PAUL POULAKOS DO, LLC
Clinic/Center
412 6TH AVENUE, FLOOR 7, SUITE 702
NEW YORK, NY 10011
New York County (917) 275-3625

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 Paul Poulakos's NPI number?

The NPI number for Paul Poulakos is 1558715383. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Paul Poulakos located?

Paul Poulakos practices at 412 6th Avenue Fl 7, Suite 702, New York, NY 10011. The listed phone number is (850) 692-9355.

What is Paul Poulakos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul Poulakos enrolled in Medicare?

Yes. Paul Poulakos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Poulakos was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.