| Corona Psychological Services, Pllc | |
|
130 Allens Creek Rd Ste 100 Rochester NY 14618-3305 | |
| (585) 598-4101 | |
| Not Available |
| Full Name | Corona Psychological Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Allens Creek Rd Ste 100, Rochester, New York |
| Authorized Official Name and Position | Christopher Corona (MEMBER) |
| Authorized Official Contact | 5855984101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Psychological Services, Pllc 100 Linden Oaks, Suite 102 Rochester NY 14625 Ph: (585) 598-4101 | Corona Psychological Services, Pllc 130 Allens Creek Rd Ste 100 Rochester NY 14618-3305 Ph: (585) 598-4101 |
| NPI Number | 1558900019 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 12/31/2021 |
| Certification Date | 12/31/2021 |
| Medicare PECOS PAC ID | 9133578818 |
|---|---|
| Medicare Enrollment ID | O20231206002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558900019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christopher D Corona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205305729 PECOS PAC ID: 9436504172 Enrollment ID: I20231206002179 |
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