| Behavioral Health Services North, Inc. | |
|
2215 State Route 22b Morrisonville NY 12962 | |
| (518) 563-8000 | |
| (518) 563-9001 |
| Full Name | Behavioral Health Services North, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2215 State Route 22b, Morrisonville, New York |
| Authorized Official Name and Position | Mark A. Lukens (PRESIDENT/CEO) |
| Authorized Official Contact | 5185638206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services North, Inc. 22 Us Oval Ste 218 Plattsburgh NY 12903-5902 Ph: (518) 563-8000 | Behavioral Health Services North, Inc. 2215 State Route 22b Morrisonville NY 12962 Ph: (518) 563-8000 |
| NPI Number | 1689621468 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Medicare PECOS PAC ID | 3173511557 |
|---|---|
| Medicare Enrollment ID | O20040504001084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689621468 | NPI | - | NPPES |
| 00671747 | Medicaid | NY | |
| 01405650 | Medicaid | NY | |
| 01085758 | Medicaid | NY | |
| 01285083 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Maura L Alix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437174315 PECOS PAC ID: 1557359940 Enrollment ID: I20040504001154 |
| Provider Name | Margaret M Tobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306968979 PECOS PAC ID: 0547251225 Enrollment ID: I20040520001462 |
| Provider Name | Harry W Mahood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255320909 PECOS PAC ID: 1557320306 Enrollment ID: I20041007000108 |
| Provider Name | Ralph L Berry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972591097 PECOS PAC ID: 7416917455 Enrollment ID: I20041014000489 |
| Provider Name | Anne E U Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225136047 PECOS PAC ID: 2062515463 Enrollment ID: I20070305000487 |
| Provider Name | Joanne L Astill Vaccaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184737389 PECOS PAC ID: 9032201249 Enrollment ID: I20070817000267 |
| Provider Name | Deborah L Teppo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992810261 PECOS PAC ID: 1658465406 Enrollment ID: I20070924000551 |
| Provider Name | Harry A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700033982 PECOS PAC ID: 3476600214 Enrollment ID: I20090413000370 |
| Provider Name | Nancy Scanlan-rathbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588996896 PECOS PAC ID: 4082745476 Enrollment ID: I20100630000571 |
| Provider Name | Shawn T. Sabella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659426534 PECOS PAC ID: 9032437165 Enrollment ID: I20150421001346 |
| Provider Name | Eileen S Mcgachey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982887394 PECOS PAC ID: 8325368145 Enrollment ID: I20150519001887 |
| Provider Name | Rachel Wolfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609213479 PECOS PAC ID: 2668746660 Enrollment ID: I20170914001045 |
| Provider Name | Theresa A Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548356819 PECOS PAC ID: 3678707759 Enrollment ID: I20180130001139 |
| Provider Name | Jennifer R Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689913600 PECOS PAC ID: 3375804040 Enrollment ID: I20180221002316 |
| Provider Name | Jennifer M Campoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538668710 PECOS PAC ID: 9537414834 Enrollment ID: I20180608000925 |
| Provider Name | Courtney L Hafner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356827513 PECOS PAC ID: 8325398548 Enrollment ID: I20180910002865 |
| Provider Name | Kristy M Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558644377 PECOS PAC ID: 5294088845 Enrollment ID: I20181029000909 |
| Provider Name | Brandy L Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186930 PECOS PAC ID: 3173876570 Enrollment ID: I20181101002198 |
| Provider Name | Wendy A Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982183463 PECOS PAC ID: 9537413208 Enrollment ID: I20181115001084 |
| Provider Name | Alyssa L. Pullmain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740688449 PECOS PAC ID: 8921346693 Enrollment ID: I20190205003346 |
| Provider Name | Eric M Decelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003296435 PECOS PAC ID: 1850631920 Enrollment ID: I20190327002814 |
| Provider Name | Elena Grace Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548890841 PECOS PAC ID: 5890122121 Enrollment ID: I20200227000331 |
| Provider Name | Heather Lynn Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891158390 PECOS PAC ID: 7214364397 Enrollment ID: I20200302001925 |
| Provider Name | John David Mendenhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710352703 PECOS PAC ID: 6406287796 Enrollment ID: I20200521001073 |
| Provider Name | Jillian Perrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063045805 PECOS PAC ID: 3971921255 Enrollment ID: I20200918000690 |
| Provider Name | Ashley Marie Ellenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407461411 PECOS PAC ID: 2860802519 Enrollment ID: I20201109000360 |
| Provider Name | Darlene M Hafner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578925194 PECOS PAC ID: 0941611669 Enrollment ID: I20201201000825 |
| Provider Name | Jennifer A Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326358003 PECOS PAC ID: 8820277841 Enrollment ID: I20201202002928 |
| Provider Name | Megan A Emery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477956803 PECOS PAC ID: 0840602363 Enrollment ID: I20201207002139 |
| Provider Name | Tatyana Poviliunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503010 PECOS PAC ID: 5496160731 Enrollment ID: I20210218000336 |
| Provider Name | Justin J Alvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770197329 PECOS PAC ID: 2961818810 Enrollment ID: I20210302000172 |
| Provider Name | Martha L Vanyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588239289 PECOS PAC ID: 1658775721 Enrollment ID: I20210811002577 |
| Provider Name | Lauren M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285147850 PECOS PAC ID: 5890190094 Enrollment ID: I20210826001820 |
| Provider Name | Ngonga Frustelle Nana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740859743 PECOS PAC ID: 1456757434 Enrollment ID: I20210831003007 |
| Provider Name | Emily Rose Gersowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659047249 PECOS PAC ID: 3072919661 Enrollment ID: I20210907002940 |
| Provider Name | Brianna Therese Halleran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952812380 PECOS PAC ID: 2567868052 Enrollment ID: I20210908003806 |
| Provider Name | Laura Patricia Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700458114 PECOS PAC ID: 5799181012 Enrollment ID: I20210910001611 |
| Provider Name | Sophie M Popowich-ihne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326340613 PECOS PAC ID: 3072903301 Enrollment ID: I20211201000575 |
| Provider Name | Alyssa J Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285385641 PECOS PAC ID: 7416343579 Enrollment ID: I20220330000561 |
| Provider Name | James E Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174631113 PECOS PAC ID: 3173704095 Enrollment ID: I20220409000019 |
| Provider Name | Eve G Spratt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396853347 PECOS PAC ID: 7719068550 Enrollment ID: I20220411002034 |
| Provider Name | Amber M Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083122311 PECOS PAC ID: 4385022128 Enrollment ID: I20220607000579 |
| Provider Name | Nicole Stanek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083125686 PECOS PAC ID: 9234518382 Enrollment ID: I20220620001102 |
| Provider Name | Teresa Gaetani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548865298 PECOS PAC ID: 1052797248 Enrollment ID: I20220926000450 |
| Provider Name | Brianna Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538894605 PECOS PAC ID: 9436535101 Enrollment ID: I20221004000206 |
| Provider Name | Jessica V Russo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447997648 PECOS PAC ID: 7416324207 Enrollment ID: I20221108002079 |
| Provider Name | Amy K Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922726298 PECOS PAC ID: 8123495819 Enrollment ID: I20221109002598 |
| Provider Name | Christine M Kocsis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184008781 PECOS PAC ID: 9739552514 Enrollment ID: I20230224002408 |
| Provider Name | Amanda G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861112757 PECOS PAC ID: 0749653004 Enrollment ID: I20230307002000 |
| Provider Name | Ashley D Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407493158 PECOS PAC ID: 6103291893 Enrollment ID: I20230411002143 |
| Provider Name | Shelby N Kaufmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720626674 PECOS PAC ID: 8921465501 Enrollment ID: I20230613002834 |
| Provider Name | Arigun Ganbat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083286157 PECOS PAC ID: 5799137329 Enrollment ID: I20240119001242 |
| Provider Name | Erin L Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548867294 PECOS PAC ID: 5193177566 Enrollment ID: I20240122002139 |
| Provider Name | Ian M Walz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427711407 PECOS PAC ID: 8527410901 Enrollment ID: I20240122002572 |
| Provider Name | Mallory L Godreau Perales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225535602 PECOS PAC ID: 9335591585 Enrollment ID: I20240123004354 |
| Provider Name | Jennifer E Guynup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124593678 PECOS PAC ID: 1355794439 Enrollment ID: I20240124004034 |
| Provider Name | Jenelle L Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043749344 PECOS PAC ID: 8426401563 Enrollment ID: I20240125001399 |
| Provider Name | Brynn L Labounty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689247579 PECOS PAC ID: 4183077092 Enrollment ID: I20240126003202 |
| Provider Name | Rachel R Abrahamsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952952244 PECOS PAC ID: 4486007135 Enrollment ID: I20240129003941 |
| Provider Name | Jake Santilli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003467309 PECOS PAC ID: 3375996036 Enrollment ID: I20240129004074 |
| Provider Name | Jacklyn Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699395426 PECOS PAC ID: 0941653232 Enrollment ID: I20240202002102 |
| Provider Name | Georgia Burkhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407432636 PECOS PAC ID: 6406291566 Enrollment ID: I20240228002024 |
| Provider Name | Michael W Springer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396336236 PECOS PAC ID: 6800231499 Enrollment ID: I20240305004147 |
| Provider Name | Sunnie F Lobdell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003232349 PECOS PAC ID: 0244676468 Enrollment ID: I20240311002517 |
| Provider Name | Robert J Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780154849 PECOS PAC ID: 0446699540 Enrollment ID: I20240423001693 |
| Provider Name | Jill M Belair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982911467 PECOS PAC ID: 8224478292 Enrollment ID: I20240425000093 |
| Provider Name | Aaron A Lowes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144864315 PECOS PAC ID: 1759721533 Enrollment ID: I20240426000943 |
| Provider Name | Marilyn Bryan Debernardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407018591 PECOS PAC ID: 9638519077 Enrollment ID: I20240501003572 |
Neuropsychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Pine Ridge Dr, Morrisonville, NY 12962 Phone: 518-536-0330 Fax: 518-563-1633 |