| Livingston County | |
|
4600 Millennium Dr Geneseo NY 14454-1197 | |
| (585) 243-7250 | |
| (585) 243-7264 |
| Full Name | Livingston County |
|---|---|
| Speciality | Psychologist |
| Location | 4600 Millennium Dr, Geneseo, New York |
| Authorized Official Name and Position | James Joseph Peraino (DEPUTY PUBLIC HEALTH DIRECTOR) |
| Authorized Official Contact | 5852437270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston County 4600 Millennium Dr Geneseo NY 14454-1197 Ph: (585) 243-7250 | Livingston County 4600 Millennium Dr Geneseo NY 14454-1197 Ph: (585) 243-7250 |
| NPI Number | 1578656302 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 8527027093 |
|---|---|
| Medicare Enrollment ID | O20041008001137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578656302 | NPI | - | NPPES |
| LM | Other | NY | BCBS INDEM PROV NUMBER |
| 014006252 | Other | NY | BCBS PROVIDER NUMBER |
| 00357960 | Medicaid | NY | |
| 01662211 | Medicaid | NY | |
| 103061EU | Other | NY | PREF CARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Scott M Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447452032 PECOS PAC ID: 0042494676 Enrollment ID: I20110406000415 |
| Provider Name | Annie Elizabeth Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295853166 PECOS PAC ID: 0042495749 Enrollment ID: I20110422000190 |
| Provider Name | Marybeth Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467748525 PECOS PAC ID: 9335385533 Enrollment ID: I20130412000488 |
| Provider Name | Jennifer Lyn Ashley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477176089 PECOS PAC ID: 5799190534 Enrollment ID: I20210209001433 |
| Provider Name | Victoria Gaffney-eaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720513633 PECOS PAC ID: 0042627606 Enrollment ID: I20210325002654 |
| Provider Name | Stacey Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245794387 PECOS PAC ID: 1456786912 Enrollment ID: I20220411000044 |
| Provider Name | Janet T Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043781313 PECOS PAC ID: 8325417470 Enrollment ID: I20221212001437 |
Casa-trinity, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4612 Millennium Drive, Geneseo, NY 14454 Phone: 585-443-2018 Fax: 585-991-5013 | |
Meridian Psychology Practice, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 South St, Geneseo, NY 14454 Phone: 585-770-7190 | |
Harry M. Barsuk, Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 South St, Geneseo, NY 14454 Phone: 585-770-7190 | |
Cindy Pond, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Main St, Geneseo, NY 14454 Phone: 585-786-0150 | |
Treehawks Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Main St, Geneseo, NY 14454 Phone: 585-245-8733 | |
Tera L. Storms, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 150 Court St, Suite 1, Geneseo, NY 14454 Phone: 585-301-7483 Fax: 585-359-8055 |