| Brookhaven Memorial Hospital Health Center West | |
|
365 East Main Street Patchogue NY 11772-3145 | |
| (631) 866-2030 | |
| (631) 687-1830 |
| Full Name | Brookhaven Memorial Hospital Health Center West |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 365 East Main Street, Patchogue, New York |
| Authorized Official Name and Position | Brenda J Farrell (VICE PRESIDENT & CFO) |
| Authorized Official Contact | 6316547175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Memorial Hospital Health Center West 101 Hospital Road Patchogue NY 11772-4870 Ph: (631) 654-7100 | Brookhaven Memorial Hospital Health Center West 365 East Main Street Patchogue NY 11772-3145 Ph: (631) 866-2030 |
| NPI Number | 1114141298 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114141298 | NPI | - | NPPES |
| 00245529 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Wholistic Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 N Ocean Ave Ste 1, Patchogue, NY 11772 Phone: 631-406-9308 | |
Risewell Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Waverly Ave, Patchogue, NY 11772 Phone: 631-447-6460 Fax: 631-289-7098 | |
Brookhaven Memorial Hosp Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-447-3076 | |
Military Community Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Oak St, Suite #1, Patchogue, NY 11772 Phone: 631-569-5811 | |
Envision Behavioral And Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Waverly Ave, Bldg. 3, Suite 11, Patchogue, NY 11772 Phone: 631-307-9892 | |
Robert B. Devinney, Ph.d. Psychologist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 Medford Ave, Patchogue, NY 11772 Phone: 631-987-3780 Fax: 631-204-0069 |