| Harry Stack Sullivan Mental Health Services | |
|
5 Court St Suite 42, County Office Building Norwich NY 13815-1695 | |
| (607) 337-1602 | |
| (607) 334-4519 |
| Full Name | Harry Stack Sullivan Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Court St, Norwich, New York |
| Authorized Official Name and Position | Mary Ann Spryn (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Contact | 6073371602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry Stack Sullivan Mental Health Services 5 Court St Suite 42, County Office Building Norwich NY 13815-1695 Ph: (607) 337-1602 | Harry Stack Sullivan Mental Health Services 5 Court St Suite 42, County Office Building Norwich NY 13815-1695 Ph: (607) 337-1602 |
| NPI Number | 1588694749 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588694749 | NPI | - | NPPES |
| 01178716 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6861100A (New York) | Primary |
Harry Stack Sullivan Mental Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Court St, Suite 42, County Office Building, Norwich, NY 13815 Phone: 607-337-1602 Fax: 607-334-4519 | |
Chenango Memorial Hospital, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4111 Fax: 607-337-4293 | |
Mark P. Vogel, Ph.d And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Midland Dr, Norwich, NY 13815 Phone: 607-336-9914 Fax: 607-334-4881 |