Capital Area Christian Counseling Asso | |
196 Delaware Ave Delmar NY 12054-1227 | |
(518) 439-0033 | |
(518) 439-7167 |
Full Name | Capital Area Christian Counseling Asso |
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Speciality | Psychologist |
Location | 196 Delaware Ave, Delmar, New York |
Authorized Official Name and Position | Jill Koonz (OFFICE MANAGER) |
Authorized Official Contact | 5184390033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capital Area Christian Counseling Asso 29 Jay Unit 1067 Schenectady NY 12301-3307 Ph: (518) 374-7555 | Capital Area Christian Counseling Asso 196 Delaware Ave Delmar NY 12054-1227 Ph: (518) 439-0033 |
NPI Number | 1447280581 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 06/10/2020 |
Certification Date | 06/10/2020 |
Medicare PECOS PAC ID | 3476507450 |
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Medicare Enrollment ID | O20050311000844 |
Identifier | Type | State | Issuer |
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1447280581 | NPI | - | NPPES |
01727095 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Provider Name | Carol Colby |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275525180 PECOS PAC ID: 0749354025 Enrollment ID: I20080805000181 |
Provider Name | Perry Sherman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619960929 PECOS PAC ID: 2365635992 Enrollment ID: I20101014001495 |
Provider Name | John Avallone Serra |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659364982 PECOS PAC ID: 5193919991 Enrollment ID: I20101104001310 |
Provider Name | Brian Louis Fast |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144212283 PECOS PAC ID: 0749234722 Enrollment ID: I20110302000359 |
Provider Name | Shawn H Muthersbaugh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063404143 PECOS PAC ID: 3375728587 Enrollment ID: I20110504000322 |
Provider Name | David A Myhre |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326292863 PECOS PAC ID: 9830316272 Enrollment ID: I20140808001276 |
Provider Name | James Richard Morgan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457344798 PECOS PAC ID: 2365743903 Enrollment ID: I20151223001553 |
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