Wellsley Brielle Radecke, LMFT is a
Psychologist based in Syracuse, New York. Wellsley Brielle Radecke is licensed to practice in New York (license number 025317-01) and her current practice location is
1031 E Fayette St, Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 732-3431.
NPI number for Wellsley Brielle Radecke is 1952975336 and her current mailing address is 105 Harbridge Mnr, Buffalo, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952975336.
Healthcare Provider's Profile
Full Name | Wellsley Brielle Radecke |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1031 E Fayette St, Syracuse, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952975336
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 10/27/2022
Medical Identifiers
Medical identifiers for Wellsley Brielle Radecke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952975336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 001404 (New York) | Secondary |
103T00000X | Psychologist | 025317-01 (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. Wellsley Brielle Radecke 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 Address | Practice Location Address |
Wellsley Brielle Radecke, LMFT 105 Harbridge Mnr, Buffalo, NY 14221-5830 Ph: (716) 574-3311 | Wellsley Brielle Radecke, LMFT 1031 E Fayette St, Syracuse, NY 13210-1022 Ph: (315) 732-3431 |
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