| Greene County Mental Health Center | |
|
905 Greene County Office Bldg Cairo NY 12413-2868 | |
| (518) 622-9163 | |
| (518) 622-8592 |
| Full Name | Greene County Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Greene County Office Bldg, Cairo, New York |
| Authorized Official Name and Position | Jason R Fredenberg (DIRECTOR) |
| Authorized Official Contact | 5186229163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene County Mental Health Center 905 Greene County Office Bldg Cairo NY 12413-2868 Ph: (518) 622-9163 | Greene County Mental Health Center 905 Greene County Office Bldg Cairo NY 12413-2868 Ph: (518) 622-9163 |
| NPI Number | 1255360046 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Medicare PECOS PAC ID | 9133038219 |
|---|---|
| Medicare Enrollment ID | O20040324001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255360046 | NPI | - | NPPES |
| 02994907 | Medicaid | NY | |
| 00542489 | Medicaid | NY |
| Provider Name | Jason R Fredenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689688285 PECOS PAC ID: 0446142475 Enrollment ID: I20040325001334 |
| Provider Name | Christina M Bernhard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417949561 PECOS PAC ID: 0840255154 Enrollment ID: I20041129000696 |
| Provider Name | Stacie J Speed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952594723 PECOS PAC ID: 5799879425 Enrollment ID: I20070925000626 |
| Provider Name | Jeffrey S Corbin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851517718 PECOS PAC ID: 7618067521 Enrollment ID: I20071215000210 |
| Provider Name | Laura I Merante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235143975 PECOS PAC ID: 7214116482 Enrollment ID: I20110120000923 |
| Provider Name | Sara K Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194879551 PECOS PAC ID: 4385820273 Enrollment ID: I20110510000544 |
| Provider Name | Arthur F Mcginn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861588758 PECOS PAC ID: 3678718475 Enrollment ID: I20130327000373 |
| Provider Name | Darcy A Rossignol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487660072 PECOS PAC ID: 9335360254 Enrollment ID: I20141017001939 |
| Provider Name | Amanda E Kistinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285019901 PECOS PAC ID: 6709194178 Enrollment ID: I20151005001346 |
| Provider Name | Julie M Misiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912913369 PECOS PAC ID: 3375842057 Enrollment ID: I20160502000816 |
| Provider Name | Bobbi L Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215943626 PECOS PAC ID: 6507265865 Enrollment ID: I20210519001027 |
| Provider Name | Emily U Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760498323 PECOS PAC ID: 6901206234 Enrollment ID: I20210608002951 |
| Provider Name | Laura J Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699003657 PECOS PAC ID: 1951701481 Enrollment ID: I20210621001316 |
| Provider Name | Jacqueline N Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811591589 PECOS PAC ID: 2769871862 Enrollment ID: I20211111000408 |
| Provider Name | Erin M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386187243 PECOS PAC ID: 9335506997 Enrollment ID: I20230613002185 |
| Provider Name | Randi L Sisco-studnitzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053960427 PECOS PAC ID: 7214381532 Enrollment ID: I20230920002771 |
| Provider Name | Stephanie B Truesdell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659894095 PECOS PAC ID: 8022452093 Enrollment ID: I20240217000277 |
Greene County Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Greene County Office Bldg, Cairo, NY 12413 Phone: 518-622-9163 Fax: 518-622-8592 |