| Lifestance Psychology | |
|
667 Stoneleigh Ave Ste 202 Carmel NY 10512-2455 | |
| (845) 279-5908 | |
| (845) 622-5055 |
| Full Name | Lifestance Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 667 Stoneleigh Ave Ste 202, Carmel, New York |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Psychology 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (480) 524-0990 | Lifestance Psychology 667 Stoneleigh Ave Ste 202 Carmel NY 10512-2455 Ph: (845) 279-5908 |
| NPI Number | 1720194335 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 4385530351 |
|---|---|
| Medicare Enrollment ID | O20040225001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720194335 | NPI | - | NPPES |
| 05911211 | Medicaid | NY |
| Provider Name | Maurice Haberman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275564353 PECOS PAC ID: 3577459098 Enrollment ID: I20040223000934 |
| Provider Name | Pamela A Corbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811000458 PECOS PAC ID: 6002702057 Enrollment ID: I20040225001134 |
| Provider Name | Clelia O'connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689727331 PECOS PAC ID: 9537153937 Enrollment ID: I20040408001592 |
| Provider Name | James E Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740539436 PECOS PAC ID: 1052392156 Enrollment ID: I20040525001586 |
| Provider Name | Nancy S Tramontana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336252576 PECOS PAC ID: 1254311178 Enrollment ID: I20040721001757 |
| Provider Name | Geneva Vivino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710925508 PECOS PAC ID: 1658352109 Enrollment ID: I20040803000900 |
| Provider Name | Barbara S. Orlowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902912553 PECOS PAC ID: 3375501083 Enrollment ID: I20050112000607 |
| Provider Name | Nancy Badding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215040407 PECOS PAC ID: 5092754317 Enrollment ID: I20050427000088 |
| Provider Name | Andrew Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447484548 PECOS PAC ID: 0042239295 Enrollment ID: I20051116000727 |
| Provider Name | Carrie V Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376636563 PECOS PAC ID: 6709809825 Enrollment ID: I20060104000420 |
| Provider Name | Susan B Eber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952473340 PECOS PAC ID: 1759397912 Enrollment ID: I20060224000281 |
| Provider Name | Dennis Orlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538183587 PECOS PAC ID: 0840201828 Enrollment ID: I20060505000787 |
| Provider Name | Joy Spiegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881709327 PECOS PAC ID: 4183726219 Enrollment ID: I20070220000843 |
| Provider Name | Amy Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235151317 PECOS PAC ID: 3375646813 Enrollment ID: I20070321000306 |
| Provider Name | Suzanne H Braniecki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831266881 PECOS PAC ID: 2264533942 Enrollment ID: I20070725000162 |
| Provider Name | Mary Zayani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407073950 PECOS PAC ID: 8022104959 Enrollment ID: I20071023000536 |
| Provider Name | Virginia Tortoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164583563 PECOS PAC ID: 7113014010 Enrollment ID: I20071128000513 |
| Provider Name | Lynda Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003031501 PECOS PAC ID: 8426120031 Enrollment ID: I20080626000229 |
| Provider Name | Joanne Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508001819 PECOS PAC ID: 6901961911 Enrollment ID: I20090206000437 |
| Provider Name | Denise Falcon-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265677207 PECOS PAC ID: 7214052943 Enrollment ID: I20100917000322 |
| Provider Name | Jonathan Butters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073537882 PECOS PAC ID: 1052504032 Enrollment ID: I20101022000390 |
| Provider Name | Jeffrey M Simon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265456073 PECOS PAC ID: 3274429246 Enrollment ID: I20101029000271 |
| Provider Name | Leonard Malter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538207592 PECOS PAC ID: 3870789712 Enrollment ID: I20101118000318 |
| Provider Name | Elaine V Boccumini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932215522 PECOS PAC ID: 8820286214 Enrollment ID: I20101229000864 |
| Provider Name | Richard I Altesman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730292350 PECOS PAC ID: 3577752575 Enrollment ID: I20110106000404 |
| Provider Name | Bruce L Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275648800 PECOS PAC ID: 4082803796 Enrollment ID: I20110112000214 |
| Provider Name | Lesley Becker-aaron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659675163 PECOS PAC ID: 5799969622 Enrollment ID: I20110418000448 |
| Provider Name | Joyce Dibonaventura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780723890 PECOS PAC ID: 6608054846 Enrollment ID: I20110617000203 |
| Provider Name | Shoshana D Beran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043573611 PECOS PAC ID: 1759547763 Enrollment ID: I20120719000091 |
| Provider Name | Sybil M Mouzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144531674 PECOS PAC ID: 2860642337 Enrollment ID: I20121017000858 |
| Provider Name | Michele A Culleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881810083 PECOS PAC ID: 3375794621 Enrollment ID: I20121114000001 |
| Provider Name | Anita H Sreedhar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982942439 PECOS PAC ID: 6608020771 Enrollment ID: I20130128000055 |
| Provider Name | Roxann H Intriligator |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134347123 PECOS PAC ID: 9537291851 Enrollment ID: I20130410000123 |
| Provider Name | Tara Eyma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669787792 PECOS PAC ID: 0345482675 Enrollment ID: I20130815000304 |
| Provider Name | Bianca Ventura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548605306 PECOS PAC ID: 6608019930 Enrollment ID: I20130905000279 |
| Provider Name | Eryn M Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316264104 PECOS PAC ID: 7719115997 Enrollment ID: I20140115000728 |
| Provider Name | Stephanie Bader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992017388 PECOS PAC ID: 3870721079 Enrollment ID: I20140115001454 |
| Provider Name | Robert A Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184799884 PECOS PAC ID: 7214973288 Enrollment ID: I20140410000264 |
| Provider Name | Katherine L Harding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558673269 PECOS PAC ID: 7719119411 Enrollment ID: I20140411000719 |
| Provider Name | Anne W Kelsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164741112 PECOS PAC ID: 3678896578 Enrollment ID: I20141230000303 |
| Provider Name | Cecilia Rembert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205224367 PECOS PAC ID: 2860716529 Enrollment ID: I20150129000346 |
| Provider Name | Dawn M Terralavoro-short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497175822 PECOS PAC ID: 4486964517 Enrollment ID: I20151102001994 |
| Provider Name | Alison B. Jampol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629234539 PECOS PAC ID: 7517277551 Enrollment ID: I20151104000578 |
| Provider Name | Tanvira Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023252137 PECOS PAC ID: 7719114925 Enrollment ID: I20160112000168 |
| Provider Name | Alberto D Luna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215308929 PECOS PAC ID: 1254633852 Enrollment ID: I20160310001898 |
| Provider Name | Karina Santibanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649602491 PECOS PAC ID: 8426355884 Enrollment ID: I20160330000402 |
| Provider Name | Nancy S. Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265705685 PECOS PAC ID: 5395042550 Enrollment ID: I20160401001894 |
| Provider Name | Paul Andrew Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124178306 PECOS PAC ID: 9537450036 Enrollment ID: I20160613002255 |
| Provider Name | Thomas Arceri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871711531 PECOS PAC ID: 4789977398 Enrollment ID: I20160720000128 |
| Provider Name | Kenneth F Einhorn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881842490 PECOS PAC ID: 1557659109 Enrollment ID: I20161013001627 |
| Provider Name | Marisa A Orshanskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326366337 PECOS PAC ID: 5092003350 Enrollment ID: I20161019002211 |
| Provider Name | Diane P Martins-mandel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447502695 PECOS PAC ID: 8729368923 Enrollment ID: I20161205002059 |
| Provider Name | Andrene A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770807679 PECOS PAC ID: 8921380627 Enrollment ID: I20170112001599 |
| Provider Name | Pamela Zuccarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689112195 PECOS PAC ID: 7113201112 Enrollment ID: I20170310000223 |
| Provider Name | Michelle Bobulinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346245420 PECOS PAC ID: 5092841866 Enrollment ID: I20170419002277 |
| Provider Name | Meredith A Dooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528188000 PECOS PAC ID: 8426335357 Enrollment ID: I20170503000167 |
| Provider Name | Timothy C Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134588346 PECOS PAC ID: 2668749748 Enrollment ID: I20170519001625 |
| Provider Name | Gail M Brick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346260122 PECOS PAC ID: 6901173061 Enrollment ID: I20170522002286 |
| Provider Name | Sarah Yanosy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609306216 PECOS PAC ID: 4385915115 Enrollment ID: I20170811002111 |
| Provider Name | Vontaye Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730405622 PECOS PAC ID: 8729344015 Enrollment ID: I20171101002909 |
| Provider Name | Vanessa Micka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295184059 PECOS PAC ID: 6901165836 Enrollment ID: I20180122001532 |
| Provider Name | Darcy G Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252556 PECOS PAC ID: 5294097739 Enrollment ID: I20180322000635 |
| Provider Name | Anne T Nadig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669965471 PECOS PAC ID: 3779839741 Enrollment ID: I20180705000575 |
| Provider Name | Jenevieve D Treiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982999298 PECOS PAC ID: 1355630013 Enrollment ID: I20180910001206 |
| Provider Name | Jeremy Eggleston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669592986 PECOS PAC ID: 0244580116 Enrollment ID: I20180914000388 |
| Provider Name | Asia L Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730600891 PECOS PAC ID: 2668723149 Enrollment ID: I20180921002273 |
| Provider Name | Jodi L. Weisberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497236236 PECOS PAC ID: 7315299211 Enrollment ID: I20181003003119 |
| Provider Name | Lindsay Gail Miarmi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790188720 PECOS PAC ID: 5991027567 Enrollment ID: I20181004002203 |
| Provider Name | Nisarat Singchawala-meyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588067185 PECOS PAC ID: 8527327428 Enrollment ID: I20190201002196 |
| Provider Name | Jessica L. Salvatore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710392113 PECOS PAC ID: 5597069088 Enrollment ID: I20190219002720 |
| Provider Name | Teresa Pica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356879589 PECOS PAC ID: 2163762782 Enrollment ID: I20190319000864 |
| Provider Name | Jenny Carmona-padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710330303 PECOS PAC ID: 2567795958 Enrollment ID: I20190618002048 |
| Provider Name | Sarah Beth Krim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316508575 PECOS PAC ID: 7719218882 Enrollment ID: I20191004000846 |
| Provider Name | Carolyn F Certilman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740821669 PECOS PAC ID: 4981036126 Enrollment ID: I20191108002869 |
| Provider Name | Nikesha A Abdool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508358011 PECOS PAC ID: 1759713662 Enrollment ID: I20191114002399 |
| Provider Name | Marina E Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861851693 PECOS PAC ID: 4688007461 Enrollment ID: I20191209002865 |
| Provider Name | Anitha R Bachireddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790009702 PECOS PAC ID: 8628304664 Enrollment ID: I20200109001727 |
| Provider Name | Naomi Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306484894 PECOS PAC ID: 5294162392 Enrollment ID: I20200303000245 |
| Provider Name | Barbara L Ellman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932615051 PECOS PAC ID: 6103254537 Enrollment ID: I20200319000346 |
| Provider Name | Andrew M Metz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043609662 PECOS PAC ID: 6305276726 Enrollment ID: I20200424002211 |
| Provider Name | Lisa Doreen Glukhovsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720602519 PECOS PAC ID: 1850718974 Enrollment ID: I20200903000199 |
| Provider Name | Marissa Dwarica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952662033 PECOS PAC ID: 5092133363 Enrollment ID: I20200918000276 |
| Provider Name | Royston Ogbuagu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609242916 PECOS PAC ID: 1355741026 Enrollment ID: I20210617000607 |
| Provider Name | Deirdre Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013012525 PECOS PAC ID: 5799871125 Enrollment ID: I20220523001624 |
Nhmp Carmel Neuro. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Route 52, Carmel, NY 10512 Phone: 845-228-2910 Fax: 845-228-2914 | |
Putnam Hospital Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 670 Stoneleigh Ave, Carmel, NY 10512 Phone: 845-279-5711 Fax: 845-838-8062 | |
Anne L Boffoli Bentzen Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Duke Dr, Carmel, NY 10512 Phone: 845-519-5415 | |
Northeast Neurology Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 Stoneleigh Ave, Ste 202 Bldg 665, Carmel, NY 10512 Phone: 845-279-9000 Fax: 845-279-4141 | |
Mindful Living Counseling & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Nutmeg Dr, Carmel, NY 10512 Phone: 914-414-4497 | |
Covecare Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1808 Route 6, Carmel, NY 10512 Phone: 845-225-2700 Fax: 845-225-3207 | |
Psychiatry Phc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Stoneleigh Ave, Carmel, NY 10512 Phone: 845-278-5582 Fax: 845-278-5569 |