Mr Ronald John Peckholdt, LCSW - Counselor in Middle Island, NY

Mr Ronald John Peckholdt, LCSW is a Counselor - Mental Health based in Middle Island, New York. Mr Ronald John Peckholdt is licensed to practice in New York (license number R035338) and his current practice location is 3 Emma Ln, Middle Island, New York. He can be reached at his office (for appointments etc.) via phone at (631) 775-6858.

NPI number for Mr Ronald John Peckholdt is 1417089327 and his current mailing address is 3 Emma Ln, Middle Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417089327.

Contact Information

Mr Ronald John Peckholdt, LCSW
3 Emma Ln,
Middle Island, NY 11953-2688
(631) 775-6858
(631) 924-4454

Map and Direction


Healthcare Provider's Profile

Full NameMr Ronald John Peckholdt
GenderMale
SpecialityCounselor - Mental Health
Location3 Emma Ln, Middle Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417089327
  • Provider Enumeration Date: 03/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Ronald John Peckholdt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417089327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health R035338 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ronald John Peckholdt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ronald John Peckholdt, LCSW
3 Emma Ln,
Middle Island, NY 11953-2688

Ph: (631) 775-6858
Mr Ronald John Peckholdt, LCSW
3 Emma Ln,
Middle Island, NY 11953-2688

Ph: (631) 775-6858

Reviews and Comments


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