| East End Neurpsych | |
|
2539 Middle Country Rd Ste 4 Centereach NY 11720-3503 | |
| (631) 737-6434 | |
| (631) 738-1226 |
| Full Name | East End Neurpsych |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2539 Middle Country Rd Ste 4, Centereach, New York |
| Authorized Official Name and Position | Eric Spronz (OWNER) |
| Authorized Official Contact | 6317376434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Neurpsych 2539 Middle Country Rd Centereach NY 11720-3551 Ph: (631) 737-6434 | East End Neurpsych 2539 Middle Country Rd Ste 4 Centereach NY 11720-3503 Ph: (631) 737-6434 |
| NPI Number | 1063029411 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Medicare PECOS PAC ID | 5092121855 |
|---|---|
| Medicare Enrollment ID | O20210303001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063029411 | NPI | - | NPPES |
| 1922332261 | Other | NPI |
| Provider Name | Chana M Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528341963 PECOS PAC ID: 6800118209 Enrollment ID: I20141212001134 |
| Provider Name | Eric R B Spronz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922332261 PECOS PAC ID: 4981990975 Enrollment ID: I20160830002370 |
| Provider Name | Nicole L Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457921090 PECOS PAC ID: 1850797325 Enrollment ID: I20210908003164 |
| Provider Name | Stephanie Infante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417684143 PECOS PAC ID: 4385020387 Enrollment ID: I20220928002049 |
| Provider Name | Kendall Godt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487338406 PECOS PAC ID: 2466813811 Enrollment ID: I20230801002819 |
Amanda Grodewald-adler, Psy.d., Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1919 Middle Country Rd Ste 308, Centereach, NY 11720 Phone: 631-209-5343 | |
Open-minded Marriage & Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Middle Country Rd Ste 211b, Centereach, NY 11720 Phone: 631-468-8587 | |
East End Neuropsychiatric Associates Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2539 Middle Country Rd, Suite 4, Centereach, NY 11720 Phone: 631-737-6434 Fax: 631-738-1226 | |
Manchandani Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Middle Country Rd Ste 308, Centereach, NY 11720 Phone: 631-662-9049 | |
Diane O. Seaman, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Forest Rd, Centereach, NY 11720 Phone: 631-648-7689 Fax: 631-648-7690 |