| Capital District Behavioral Health Psychologists, Pllc | |
|
20 Century Hill Drive Suite 202 Latham NY 12110 | |
| (518) 785-7283 | |
| (518) 785-7293 |
| Full Name | Capital District Behavioral Health Psychologists, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 20 Century Hill Drive, Latham, New York |
| Authorized Official Name and Position | Nancy L Nicholson (PARTNER) |
| Authorized Official Contact | 5187857283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital District Behavioral Health Psychologists, Pllc 20 Century Hill Drive Suite 202 Latham NY 12110 Ph: (518) 785-7283 | Capital District Behavioral Health Psychologists, Pllc 20 Century Hill Drive Suite 202 Latham NY 12110 Ph: (518) 785-7283 |
| NPI Number | 1215152962 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 05/31/2016 |
| Medicare PECOS PAC ID | 6002914660 |
|---|---|
| Medicare Enrollment ID | O20070605000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215152962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 012019 (New York) | Primary |
| Provider Name | Estelle A Giles Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619940319 PECOS PAC ID: 5698769701 Enrollment ID: I20040412001545 |
| Provider Name | Claudine M Lochard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184677171 PECOS PAC ID: 1456349042 Enrollment ID: I20040503001401 |
| Provider Name | Carol Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861572729 PECOS PAC ID: 7810095486 Enrollment ID: I20070605000312 |
| Provider Name | Gavin Henderson Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689918872 PECOS PAC ID: 3870748593 Enrollment ID: I20130304000331 |
| Provider Name | Joanne M Malkani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184010035 PECOS PAC ID: 9335472109 Enrollment ID: I20190610002704 |
Kimberly A. Hostig Licensed Clinical Social Worker Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Stanley Cir Ste 11, Latham, NY 12110 Phone: 518-222-6752 Fax: 518-786-0917 | |
Madhu Padi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Latham, NY 12110 Phone: 518-782-3820 | |
Freedom First Psychological Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Avis Dr Ste 101, Latham, NY 12110 Phone: 518-560-4277 Fax: 518-662-4277 | |
Achievements Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-782-1178 Fax: 518-782-3433 | |
Affiliated Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-783-1051 Fax: 518-783-1051 | |
Petsche Psychology Practice, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 British American Blvd, Latham, NY 12110 Phone: 518-344-4141 |