| Harmonia Collaborative Care Inc | |
|
6722 Erie Rd Derby NY 14047 | |
| (716) 947-5025 | |
| (716) 947-5909 |
| Full Name | Harmonia Collaborative Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6722 Erie Rd, Derby, New York |
| Authorized Official Name and Position | Monique Y Hebert-bublyk (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7169475025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmonia Collaborative Care Inc 6722 Erie Rd Derby NY 14047 Ph: (716) 947-5025 | Harmonia Collaborative Care Inc 6722 Erie Rd Derby NY 14047 Ph: (716) 947-5025 |
| NPI Number | 1497828461 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 09/06/2019 |
| Medicare PECOS PAC ID | 8628062460 |
|---|---|
| Medicare Enrollment ID | O20040413001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497828461 | NPI | - | NPPES |
| 00671807 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New York) | Primary |
| Provider Name | Cherie B Ruben |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346266418 PECOS PAC ID: 9234253667 Enrollment ID: I20100907001027 |
| Provider Name | Kristine Ingro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982028858 PECOS PAC ID: 7315349164 Enrollment ID: I20210715002883 |
| Provider Name | Lena R Rocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407439649 PECOS PAC ID: 6204232390 Enrollment ID: I20210915002723 |
| Provider Name | Rachel M Ruppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912570557 PECOS PAC ID: 1759770779 Enrollment ID: I20211112002287 |
| Provider Name | Gayle Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568772812 PECOS PAC ID: 4284015587 Enrollment ID: I20220718003200 |
| Provider Name | Jordan Alyssa Alston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326683343 PECOS PAC ID: 3072964980 Enrollment ID: I20240104003008 |
| Provider Name | Valerie A Nowak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376784199 PECOS PAC ID: 5991124976 Enrollment ID: I20240208000536 |
| Provider Name | Rachael Ann Dudczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346549490 PECOS PAC ID: 2567805401 Enrollment ID: I20240208000733 |
| Provider Name | Tammy Lyn Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306118732 PECOS PAC ID: 1456794205 Enrollment ID: I20240208001155 |
| Provider Name | Laura Marie Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396111050 PECOS PAC ID: 2264877737 Enrollment ID: I20240224000426 |
| Provider Name | Jessica Slomiany |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528653052 PECOS PAC ID: 9931549847 Enrollment ID: I20240425002081 |
Dent Neurologic Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7060 Erie Rd, Derby, NY 14047 Phone: 716-250-2000 | |
Professional Psychiatric Services P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 Erie Rd, Derby, NY 14047 Phone: 716-947-2097 Fax: 716-947-5909 | |
Ruby Orcutt Mental Health Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7887 Erie Rd, Derby, NY 14047 Phone: 716-219-0968 Fax: 716-209-3078 |