Henrietta Psychiatric Np Care, Pllc | |
250-b Lucius Gordon Drive Suite 2 West Henrietta NY 14586 | |
(585) 471-3407 | |
(866) 557-9530 |
Full Name | Henrietta Psychiatric Np Care, Pllc |
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Speciality | Community/Behavioral Health |
Location | 250-b Lucius Gordon Drive Suite 2, West Henrietta, New York |
Authorized Official Name and Position | Laura Baker (OWNER) |
Authorized Official Contact | 5854713407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Henrietta Psychiatric Np Care, Pllc 250 Lucius Gordon Dr Ste 2 West Henrietta NY 14586-9662 Ph: (585) 471-3407 | Henrietta Psychiatric Np Care, Pllc 250-b Lucius Gordon Drive Suite 2 West Henrietta NY 14586 Ph: (585) 471-3407 |
NPI Number | 1114648276 |
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Provider Enumeration Date | 09/07/2022 |
Last Update Date | 05/21/2024 |
Certification Date | 05/21/2024 |
Medicare PECOS PAC ID | 7416333745 |
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Medicare Enrollment ID | O20221010002509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114648276 | NPI | - | NPPES |
02184494 | Medicaid | NY |
Provider Name | Laura Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508886292 PECOS PAC ID: 9830105204 Enrollment ID: I20060223000111 |
Provider Name | Wendy J Garrett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922480185 PECOS PAC ID: 8820383540 Enrollment ID: I20160819001327 |
Provider Name | Capri K Dix |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467087015 PECOS PAC ID: 6608293188 Enrollment ID: I20200828001452 |
Provider Name | Pamela D Cooper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700071362 PECOS PAC ID: 9133514268 Enrollment ID: I20220328000684 |
Provider Name | Estelle A Webster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982195186 PECOS PAC ID: 7113314873 Enrollment ID: I20220427001376 |
Provider Name | Barbara J Mccabe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013421817 PECOS PAC ID: 5496195885 Enrollment ID: I20240502001164 |
Provider Name | Tricia K Berger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679738942 PECOS PAC ID: 2860832151 Enrollment ID: I20240503000962 |
Provider Name | Erin Thurston |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407162001 PECOS PAC ID: 3173065737 Enrollment ID: I20240611001384 |