| Integral Psychology Circle | |
|
6565 Spring Brook Avenue Suite 5 Rhinebeck NY 12572 | |
| (845) 516-4364 | |
| Not Available |
| Full Name | Integral Psychology Circle |
|---|---|
| Speciality | Psychologist |
| Location | 6565 Spring Brook Avenue, Rhinebeck, New York |
| Authorized Official Name and Position | Sherry Tankersley (OFFICER/PRINCIPAL) |
| Authorized Official Contact | 8455164364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Psychology Circle 6565 Spring Brook Avenue Suite 5 Rhinebeck NY 12572 Ph: (845) 516-4364 | Integral Psychology Circle 6565 Spring Brook Avenue Suite 5 Rhinebeck NY 12572 Ph: (845) 516-4364 |
| NPI Number | 1801315916 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Medicare PECOS PAC ID | 8921419607 |
|---|---|
| Medicare Enrollment ID | O20201202000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801315916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 012483 (New York) | Primary |
| 103TC0700X | Psychologist - Clinical | 021029 (New York) | Secondary |
| Provider Name | Sherry A Tankersley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588087043 PECOS PAC ID: 7416265624 Enrollment ID: I20151007001291 |
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