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JOHNNY MITTLEMAN SERRANO I
NPI 1609587955
Counselor - Mental Health in New York, NY

Active since December 07, 2022PECOS Enrolled
65 BROADWAY STE 505, NEW YORK, NY 10006(212) 677-8550 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Mittleman Serrano I NPPES

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

JOHNNY MITTLEMAN SERRANO I (NPI 1609587955) is an individual mental health provider in New York, New York and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609587955
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHNNY MITTLEMAN SERRANO I
Location Address65 BROADWAY STE 505New York, NY 10006-2540
Mailing Address65 Broadway Ste 505New York, NY 10006-2540
Phone(212) 677-8550
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1609587955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
65 BROADWAY STE 505, New York, NY 10006
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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)

Johnny Mittleman Serrano I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587139498
PECOS Enrollment IDI20260408002790
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.

Other Providers at the Same Location NPPES 5

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

DIVINE WILLIAMS LMHC
Counselor (Mental Health)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (914) 819-7126
MONICA MIA MALONE
Psychologist (Counseling)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550
MS. MARIA LETIZIA JACOBSON LMSW
Social Worker
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-6550
AMY BERMAN MA
Counselor (Mental Health)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550
MS. MIRIAM INES CASTRO LCSW
Social Worker (Clinical)
65 BROADWAY STE 505
NEW YORK, NY 10006
New York County (212) 677-8550

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 Johnny Mittleman Serrano's NPI number?

The NPI number for Johnny Mittleman Serrano is 1609587955. It was assigned to this individual provider in the NPPES registry on December 7, 2022.

Where is Johnny Mittleman Serrano located?

Johnny Mittleman Serrano practices at 65 Broadway Ste 505, New York, NY 10006. The listed phone number is (212) 677-8550.

What is Johnny Mittleman Serrano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Johnny Mittleman Serrano enrolled in Medicare?

Yes. Johnny Mittleman Serrano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Mittleman Serrano was last updated on December 7, 2022. 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.