| Integrated Therapeutic Services | |
|
1226 W Broadway Ste 10b Hewlett NY 11557-1943 | |
| (516) 345-0456 | |
| (866) 575-1763 |
| Full Name | Integrated Therapeutic Services |
|---|---|
| Speciality | Psychologist |
| Location | 1226 W Broadway Ste 10b, Hewlett, New York |
| Authorized Official Name and Position | Alan Winder (DIRECTOR) |
| Authorized Official Contact | 5163450456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Therapeutic Services 25 N 8th Ave Highland Park NJ 08904-2920 Ph: (516) 345-0456 | Integrated Therapeutic Services 1226 W Broadway Ste 10b Hewlett NY 11557-1943 Ph: (516) 345-0456 |
| NPI Number | 1720377260 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 08/19/2019 |
| Medicare PECOS PAC ID | 5799963567 |
|---|---|
| Medicare Enrollment ID | O20110627000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720377260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Alan Winder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891800355 PECOS PAC ID: 2668439043 Enrollment ID: I20041216001079 |
| Provider Name | Sandy M Krohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932419694 PECOS PAC ID: 3476741679 Enrollment ID: I20110103000258 |
| Provider Name | Rachel Leiderman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447418868 PECOS PAC ID: 4880913714 Enrollment ID: I20150428000067 |
| Provider Name | Maria Antoine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366712432 PECOS PAC ID: 1355656760 Enrollment ID: I20150813011962 |
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