| Clinton Therapy And Testing Center | |
|
7325 Ny State Route 5 Clinton NY 13323-1313 | |
| (315) 859-1973 | |
| (315) 859-1979 |
| Full Name | Clinton Therapy And Testing Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7325 Ny State Route 5, Clinton, New York |
| Authorized Official Name and Position | Lora Abraham (OWNER/OPERATOR) |
| Authorized Official Contact | 3157310435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Therapy And Testing Center 7325 Ny State Route 5 Clinton NY 13323-1313 Ph: (315) 859-1973 | Clinton Therapy And Testing Center 7325 Ny State Route 5 Clinton NY 13323-1313 Ph: (315) 859-1973 |
| NPI Number | 1316662281 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 8325418064 |
|---|---|
| Medicare Enrollment ID | O20221221002119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316662281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carol A Buchholz Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578516860 PECOS PAC ID: 6002894649 Enrollment ID: I20040710000208 |
| Provider Name | Jean J Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275660359 PECOS PAC ID: 6103967161 Enrollment ID: I20100113000259 |
| Provider Name | Lora A Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346574340 PECOS PAC ID: 9032359492 Enrollment ID: I20130708000300 |
| Provider Name | Lori M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992987598 PECOS PAC ID: 9335467448 Enrollment ID: I20150421000350 |
| Provider Name | Patricia A Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194126771 PECOS PAC ID: 2668568577 Enrollment ID: I20150925000940 |
| Provider Name | Kayla J Decarr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326481235 PECOS PAC ID: 0547533184 Enrollment ID: I20170905000205 |
| Provider Name | Nancy L Broad Rayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215009105 PECOS PAC ID: 6507013950 Enrollment ID: I20181120001715 |
| Provider Name | Sarah M Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447817150 PECOS PAC ID: 3577937648 Enrollment ID: I20230314000401 |
| Provider Name | Kaitlyn E Lapolla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730431230 PECOS PAC ID: 4284073354 Enrollment ID: I20240423000288 |
Jennie Mazza Jones Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Williams St Ste 2, Clinton, NY 13323 Phone: 315-737-3094 | |
Jennifer L Smith Md Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Kirkland Ave Apt 302, Clinton, NY 13323 Phone: 315-381-3402 Fax: 315-732-2315 | |
Joshua D. Burgess Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Norton Ave, Clinton, NY 13323 Phone: 315-795-4321 | |
Jean M Baker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Fountain St Ste 201, Clinton, NY 13323 Phone: 315-292-4834 Fax: 315-266-1366 | |
Integrated Behavioral Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Fountain St, Ste 110, Clinton, NY 13323 Phone: 315-381-3101 | |
Flourish Counseling & Consulting Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Norton Ave, Clinton, NY 13323 Phone: 315-795-4321 Fax: 315-533-4377 |