| Cbt Psychological Associates | |
|
2171 Jericho Tpke Suite 150 Commack NY 11725-2937 | |
| (631) 486-5140 | |
| (631) 486-5141 |
| Full Name | Cbt Psychological Associates |
|---|---|
| Speciality | Psychologist |
| Location | 2171 Jericho Tpke, Commack, New York |
| Authorized Official Name and Position | James C. Strickland (PRESIDENT) |
| Authorized Official Contact | 6314865140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbt Psychological Associates 2171 Jericho Tpke Suite 150 Commack NY 11725-2937 Ph: (631) 486-5140 | Cbt Psychological Associates 2171 Jericho Tpke Suite 150 Commack NY 11725-2937 Ph: (631) 486-5140 |
| NPI Number | 1730633413 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 03/31/2017 |
| Medicare PECOS PAC ID | 6709161904 |
|---|---|
| Medicare Enrollment ID | O20170331000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730633413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017981 (New York) | Primary |
| Provider Name | Theresa A Keane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104382969 PECOS PAC ID: 4880634096 Enrollment ID: I20050506000570 |
| Provider Name | James Strickland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881835312 PECOS PAC ID: 9234289109 Enrollment ID: I20090616000008 |
| Provider Name | Sean Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851674295 PECOS PAC ID: 3779913603 Enrollment ID: I20200416003444 |
| Provider Name | Christine Karen Havekost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831722297 PECOS PAC ID: 6103247499 Enrollment ID: I20200521001793 |
| Provider Name | Lisa Vecchione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871027458 PECOS PAC ID: 6709285125 Enrollment ID: I20210604000163 |
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