| Clarity Wellness Community | |
|
4220 State Rte 417 W Wellsville NY 14895-9332 | |
| (585) 593-6300 | |
| (585) 593-7071 |
| Full Name | Clarity Wellness Community |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4220 State Rte 417 W, Wellsville, New York |
| Authorized Official Name and Position | Kathryn Ann Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5855931655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Wellness Community 4220 State Rte 417 W Wellsville NY 14895-9332 Ph: (585) 593-6300 | Clarity Wellness Community 4220 State Rte 417 W Wellsville NY 14895-9332 Ph: (585) 593-6300 |
| NPI Number | 1720004633 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 6406846724 |
|---|---|
| Medicare Enrollment ID | O20040731000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720004633 | NPI | - | NPPES |
| 000523176003 | Other | NY | BCBS OF WNY PROVIDER # |
| 02977099 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Raja V Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114946746 PECOS PAC ID: 5092628230 Enrollment ID: I20051221000345 |
| Provider Name | Peter A Coggiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013902931 PECOS PAC ID: 4486715885 Enrollment ID: I20081203000830 |
| Provider Name | Michelle Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801961545 PECOS PAC ID: 8325271018 Enrollment ID: I20140505000394 |
| Provider Name | Rachel Trudell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265629018 PECOS PAC ID: 1759607393 Enrollment ID: I20150226000479 |
| Provider Name | Judy Margaret Lehman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619102027 PECOS PAC ID: 0648571711 Enrollment ID: I20151214002372 |
| Provider Name | Jody M Kenyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699156091 PECOS PAC ID: 3678824307 Enrollment ID: I20180919002947 |
| Provider Name | Amberley Jean Robb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629263769 PECOS PAC ID: 5294072351 Enrollment ID: I20190128001462 |
| Provider Name | Edward Gogek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124136627 PECOS PAC ID: 8123211554 Enrollment ID: I20210611002071 |
| Provider Name | Susanne K E Roggow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568890655 PECOS PAC ID: 9739576729 Enrollment ID: I20220421000318 |
| Provider Name | Meagan Lindsay Blowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093048050 PECOS PAC ID: 4587034160 Enrollment ID: I20221222000850 |
| Provider Name | Stephanie Lynn Fisk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023529807 PECOS PAC ID: 2860843067 Enrollment ID: I20240112000487 |
| Provider Name | William D Lorenz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538642079 PECOS PAC ID: 5395196596 Enrollment ID: I20240112000561 |
| Provider Name | Joseph Asa Paddock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477147270 PECOS PAC ID: 6002268018 Enrollment ID: I20240116000604 |
| Provider Name | Patricia Ann Baron-mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619161130 PECOS PAC ID: 5496107385 Enrollment ID: I20240116003543 |
| Provider Name | Trisha Tuttle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497179980 PECOS PAC ID: 6406299536 Enrollment ID: I20240206002354 |
| Provider Name | Elizabeth A Toporas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174745541 PECOS PAC ID: 7911342183 Enrollment ID: I20240227003279 |
| Provider Name | Ashlee Noel Rudolph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932598794 PECOS PAC ID: 9032556790 Enrollment ID: I20240318002623 |
Ara New Horizons Cdt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4222 Bolivar Rd, Wellsville, NY 14895 Phone: 585-593-1655 Fax: 585-593-1868 | |
Allegany Council On Alcoholism And Substance Abuse, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2956 Airway Rd, Wellsville, NY 14895 Phone: 585-593-6738 | |
Allegany Rehabilitation Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4222 Bolivar Rd, Wellsville, NY 14895 Phone: 585-593-1655 Fax: 585-593-1868 | |
Allegany Rehabilitation Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4222 Bolivar Rd, Wellsville, NY 14895 Phone: 585-593-6355 | |
Wellsville Wellness Psychological Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 118 N Main St, Wellsville, NY 14895 Phone: 585-340-7011 |