| Center For Cognitive Therapy Of The Capital District | |
|
1 Pinnacle Pl Suite 207 Albany NY 12203-3496 | |
| (518) 482-1815 | |
| Not Available |
| Full Name | Center For Cognitive Therapy Of The Capital District |
|---|---|
| Speciality | Psychologist |
| Location | 1 Pinnacle Pl, Albany, New York |
| Authorized Official Name and Position | Denise E Mccarthy (PARTNER) |
| Authorized Official Contact | 5184821815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Cognitive Therapy Of The Capital District 1 Pinnacle Pl Suite 207 Albany NY 12203-3496 Ph: (518) 482-1815 | Center For Cognitive Therapy Of The Capital District 1 Pinnacle Pl Suite 207 Albany NY 12203-3496 Ph: (518) 482-1815 |
| NPI Number | 1558542811 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 0840372744 |
|---|---|
| Medicare Enrollment ID | O20080131000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558542811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 009955 (New York) | Primary |
| Provider Name | Johnel D Bushell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053473819 PECOS PAC ID: 2567544463 Enrollment ID: I20080514000310 |
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