MEDICARE: CHANNEL BEHAVIORAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1114638178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANNEL BEHAVIORAL CARE LLC

Provider Business Mailing Address
First Line	:	7202 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-1906
Country	:	US
Telephone Number	:	646-238-4930
Fax Number	:

Provider Business Practice Location Address
First Line	:	7202 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-1906
Country	:	US
Telephone Number	:	646-238-4930
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. SIM SILBERMAN
Credential	:
Telephone Number	:	646-238-4930

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	05/29/2024

Similar Medicare Providers

1205089760 — MRS. MARY JO MONTIJO SLP-CCC, MS, TSHH
Practice Location Address:

7214 FORT HAMILTON PKWY , 3B
BROOKLYN, NY
11228-1906

Practice Phone: 347-394-4510
Practice Fax: 347-394-4510

1588800650 — DR. E.LAUREN SONG JUNG D.D.S.
Practice Location Address:

7222 FORT HAMILTON PKWY
BROOKLYN, NY
11228-1906

Practice Phone: 718-836-2828
Practice Fax:

1356979447 — RENEW MEDICAL OF NEW YORK, PLLC
Practice Location Address:

7202 FORT HAMILTON PKWY
BROOKLYN, NY
11228-1906

Practice Phone: 929-491-7700
Practice Fax:

1881315778 — EMURGENCY URGENT CARE PC
Practice Location Address:

7202 FORT HAMILTON PKWY
BROOKLYN, NY
11228-1906

Practice Phone: 732-886-5791
Practice Fax:

1992582183 — RENEW MEDICAL COMMUNITY CARE PLLC
Practice Location Address:

7202 FORT HAMILTON PKWY
BROOKLYN, NY
11228-1906

Practice Phone: 929-491-7700
Practice Fax:

1497517783 — CHRISTOPHER PAUL PETRELLA
Practice Location Address:

7202 FORT HAMILTON PKWY
BROOKLYN, NY
11228-1906

Practice Phone: 929-491-7700
Practice Fax:

Directions to “CHANNEL BEHAVIORAL CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.