|
| |
|
1182 Troy Schenectady Rd Ste 204 Latham NY 12110-1000 | |
| (518) 400-5180 | |
| (518) 940-4420 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1182 Troy Schenectady Rd Ste 204, Latham, New York |
| Authorized Official Name and Position | Katie Mclean (OWNER) |
| Authorized Official Contact | 5182532059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1182 Troy Schenectady Rd Ste 204 Latham NY 12110-1000 Ph: (518) 400-5180 | 1182 Troy Schenectady Rd Ste 204 Latham NY 12110-1000 Ph: (518) 400-5180 |
| NPI Number | 1619652039 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 7618328444 |
|---|---|
| Medicare Enrollment ID | O20240105002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619652039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Katie Eileen Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003132580 PECOS PAC ID: 8325499155 Enrollment ID: I20240105003030 |
| Provider Name | Dawne Salazar Salazar-moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154516656 PECOS PAC ID: 0042661803 Enrollment ID: I20240105003724 |
| Provider Name | Aletheia Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770010407 PECOS PAC ID: 0547611303 Enrollment ID: I20240105003888 |
| Provider Name | Ashley Lynn Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558843573 PECOS PAC ID: 9537510292 Enrollment ID: I20240105003948 |
| Provider Name | Emily Shepard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336999762 PECOS PAC ID: 7012358419 Enrollment ID: I20240516001856 |
| Provider Name | Angela A Mccrea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346335171 PECOS PAC ID: 5395286074 Enrollment ID: I20240920003089 |
Kimberly A. Hostig Licensed Clinical Social Worker Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Stanley Cir Ste 11, Latham, NY 12110 Phone: 518-222-6752 Fax: 518-786-0917 | |
Capital District Behavioral Health Psychologists, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20 Century Hill Drive, Suite 202, Latham, NY 12110 Phone: 518-785-7283 Fax: 518-785-7293 | |
Madhu Padi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Latham, NY 12110 Phone: 518-782-3820 | |
Freedom First Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Avis Dr Ste 101, Latham, NY 12110 Phone: 518-560-4277 Fax: 518-662-4277 | |
Achievements Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-782-1178 Fax: 518-782-3433 | |
Petsche Psychology Practice, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 British American Blvd, Latham, NY 12110 Phone: 518-344-4141 |