| Helen M Baietto Phd Psychologist Pc | |
|
299 Main Street Northport NY 11768-1704 | |
| (631) 754-4525 | |
| (631) 754-4525 |
| Full Name | Helen M Baietto Phd Psychologist Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 299 Main Street, Northport, New York |
| Authorized Official Name and Position | Helen M. Baietto (DIRECT OWNER) |
| Authorized Official Contact | 6317544525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helen M Baietto Phd Psychologist Pc 299 Main Street Northport NY 11768-1704 Ph: (631) 754-4525 | Helen M Baietto Phd Psychologist Pc 299 Main Street Northport NY 11768-1704 Ph: (631) 754-4525 |
| NPI Number | 1023486818 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 2163732074 |
|---|---|
| Medicare Enrollment ID | O20151105000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023486818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Helen M Baietto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932316049 PECOS PAC ID: 2769662345 Enrollment ID: I20110215000147 |
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