| Adhd & Autism Psychological Services And Advocacy, Pllc | |
|
122 Business Park Dr Suite 1 Utica NY 13502-6321 | |
| (315) 732-3431 | |
| (866) 822-2343 |
| Full Name | Adhd & Autism Psychological Services And Advocacy, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 122 Business Park Dr, Utica, New York |
| Authorized Official Name and Position | Andy Lopez-williams (PRESIDENT & CLINICAL DIRECTOR) |
| Authorized Official Contact | 3157323431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adhd & Autism Psychological Services And Advocacy, Pllc 122 Business Park Dr Suite 1 Utica NY 13502-6321 Ph: (315) 732-3431 | Adhd & Autism Psychological Services And Advocacy, Pllc 122 Business Park Dr Suite 1 Utica NY 13502-6321 Ph: (315) 732-3431 |
| NPI Number | 1831409663 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 08/19/2019 |
| Medicare PECOS PAC ID | 1355515156 |
|---|---|
| Medicare Enrollment ID | O20111112000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831409663 | NPI | - | NPPES |
| 02923742 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andy Lopez Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144276940 PECOS PAC ID: 4880699362 Enrollment ID: I20111116000126 |
| Provider Name | Petra Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124250451 PECOS PAC ID: 3577885664 Enrollment ID: I20141126001499 |
| Provider Name | Timothy Dempsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902155740 PECOS PAC ID: 5698038321 Enrollment ID: I20180411001677 |
| Provider Name | Carrie Corby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144460254 PECOS PAC ID: 7214292028 Enrollment ID: I20180529000908 |
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