| Clinton Therapy & Testing Center | |
|
7325 State Route 5 Clinton NY 13323-3435 | |
| (315) 859-1973 | |
| (315) 859-1979 |
| Full Name | Clinton Therapy & Testing Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7325 State Route 5, Clinton, New York |
| Authorized Official Name and Position | Brad Bennett (DIRECTOR) |
| Authorized Official Contact | 3158591973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Therapy & Testing Center 7325 State Route 5 Clinton NY 13323-3435 Ph: (315) 859-1973 | Clinton Therapy & Testing Center 7325 State Route 5 Clinton NY 13323-3435 Ph: (315) 859-1973 |
| NPI Number | 1538178827 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2668450305 |
|---|---|
| Medicare Enrollment ID | O20040709000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538178827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 8120-0 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | (New York) | Primary |
| 106H00000X | Marriage & Family Therapist | (New York) | Primary |
| Provider Name | Brad Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558454124 PECOS PAC ID: 3274511910 Enrollment ID: I20040710000150 |
| Provider Name | Carol A Buchholz Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578516860 PECOS PAC ID: 6002894649 Enrollment ID: I20040710000208 |
| Provider Name | Heather L Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174793939 PECOS PAC ID: 9931278199 Enrollment ID: I20080514000738 |
| Provider Name | Ronald Thesee |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1295850105 PECOS PAC ID: 4183770068 Enrollment ID: I20090917000311 |
| Provider Name | Jean J Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275660359 PECOS PAC ID: 6103967161 Enrollment ID: I20100113000259 |
| Provider Name | Nancy L Broad Rayne |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215009105 PECOS PAC ID: 6507013950 Enrollment ID: I20120821000163 |
| Provider Name | Lora A Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346574340 PECOS PAC ID: 9032359492 Enrollment ID: I20130708000300 |
| Provider Name | Patricia A Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194126771 PECOS PAC ID: 2668568577 Enrollment ID: I20150925000940 |
| Provider Name | Nancy L Broad Rayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215009105 PECOS PAC ID: 6507013950 Enrollment ID: I20181120001715 |
Jennie Mazza Jones Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Williams St Ste 2, Clinton, NY 13323 Phone: 315-737-3094 | |
Jennifer L Smith Md Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Kirkland Ave Apt 302, Clinton, NY 13323 Phone: 315-381-3402 Fax: 315-732-2315 | |
Joshua D. Burgess Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Norton Ave, Clinton, NY 13323 Phone: 315-795-4321 | |
Jean M Baker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Fountain St Ste 201, Clinton, NY 13323 Phone: 315-292-4834 Fax: 315-266-1366 | |
Clinton Therapy And Testing Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7325 Ny State Route 5, Clinton, NY 13323 Phone: 315-859-1973 Fax: 315-859-1979 | |
Integrated Behavioral Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Fountain St, Ste 110, Clinton, NY 13323 Phone: 315-381-3101 | |
Flourish Counseling & Consulting Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Norton Ave, Clinton, NY 13323 Phone: 315-795-4321 Fax: 315-533-4377 |