| Cognitive Therapy If Si Pysch Svcs & Lic Mental Health Counselor Pllc | |
|
1110 South Ave Suite # 5 Staten Island NY 10314-3403 | |
| (347) 273-1290 | |
| (718) 227-6007 |
| Full Name | Cognitive Therapy If Si Pysch Svcs & Lic Mental Health Counselor Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1110 South Ave, Staten Island, New York |
| Authorized Official Name and Position | Constance Salhany (PRESIDENT) |
| Authorized Official Contact | 3472731290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Therapy If Si Pysch Svcs & Lic Mental Health Counselor Pllc 1110 South Ave Suite # 5 Staten Island NY 10314-3403 Ph: (347) 273-1290 | Cognitive Therapy If Si Pysch Svcs & Lic Mental Health Counselor Pllc 1110 South Ave Suite # 5 Staten Island NY 10314-3403 Ph: (347) 273-1290 |
| NPI Number | 1437451689 |
|---|---|
| Provider Enumeration Date | 11/21/2010 |
| Last Update Date | 11/21/2010 |
| Medicare PECOS PAC ID | 5698959799 |
|---|---|
| Medicare Enrollment ID | O20110414000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437451689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002483-1 (New York) | Secondary |
| 103T00000X | Psychologist | 017286-1 (New York) | Primary |
| Provider Name | Constance J Salhany |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205036217 PECOS PAC ID: 7416046081 Enrollment ID: I20071204000762 |
| Provider Name | Victoria A Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558594119 PECOS PAC ID: 0446396352 Enrollment ID: I20100317000014 |
| Provider Name | Jennifer R Feretic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649561184 PECOS PAC ID: 9335327063 Enrollment ID: I20110629000233 |
| Provider Name | Jacqueline Shall Mccumiskey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083160170 PECOS PAC ID: 5597043141 Enrollment ID: I20161102000402 |
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