| Icm Scm | |
|
209 Park Street Malone NY 12953 | |
| (518) 483-1251 | |
| (518) 483-2242 |
| Full Name | Icm Scm |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 209 Park Street, Malone, New York |
| Authorized Official Name and Position | Gregory I Langdon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5184831251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icm Scm Po Box 608 209 Park Street Malone NY 12953-0608 Ph: (518) 483-1251 | Icm Scm 209 Park Street Malone NY 12953 Ph: (518) 483-1251 |
| NPI Number | 1730391012 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730391012 | NPI | - | NPPES |
| 01155215 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7533500 (New York) | Primary |
Department Of Veterans Affairs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3372 State Route 11, Malone, NY 12953 Phone: 518-483-1529 | |
Akin-little And Little Behavioral Psychology Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 791 County Route 41, Malone, NY 12953 Phone: 518-481-4633 | |
Community Connections Of Franklin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W Main St Ste 204, Malone, NY 12953 Phone: 518-521-3507 Fax: 518-521-3760 |