Mr Derek J Wittman, LMHC (NY), LPC (PA) | |
3300 James St Ste 101, Syracuse, NY 13206-2392 | |
(315) 422-0300 | |
Not Available |
Full Name | Mr Derek J Wittman |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 3300 James St Ste 101, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952746141 | NPI | - | NPPES |
03008275 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 008137 (New York) | Primary |
101YP2500X | Counselor - Professional | PC013511 (Pennsylvania) | Secondary |
Entity Name | Psychological Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828 |
Mailing Address | Practice Location Address |
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Mr Derek J Wittman, LMHC (NY), LPC (PA) 3300 James St Ste 101, Syracuse, NY 13206-2392 Ph: (315) 422-0300 | Mr Derek J Wittman, LMHC (NY), LPC (PA) 3300 James St Ste 101, Syracuse, NY 13206-2392 Ph: (315) 422-0300 |
Mrs. Kristen Beeles, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W Onondaga St, Syracuse, NY 13202 Phone: 153-478-0610 | |
Mrs. Sarah Elizabeth Houston, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Suite 208, Syracuse, NY 13204 Phone: 315-472-7363 Fax: 315-472-0084 | |
David Lee Ford Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 W Onondaga St, Syracuse, NY 13202 Phone: 315-478-2030 | |
Kayla Marie Hayes, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 N Salina Street, Syracuse, NY 13203 Phone: 315-434-5333 | |
Ms. Cynthia Rose Badger, L.C.S.W.-R Counselor Medicare: May Accept Medicare Assignments Practice Location: 530 Oak St, Syracuse, NY 13203 Phone: 315-439-6048 Fax: 315-473-9300 | |
Mr. Marcin Robert Zak, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1045 James St Ste 100, Syracuse, NY 13203 Phone: 315-472-4471 | |
Holly Lynn Weiler, LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 N Salina St, Syracuse, NY 13203 Phone: 315-471-1564 |