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184 Court St Binghamton NY 13901-3515 | |
| (607) 584-4465 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 184 Court St, Binghamton, New York |
| Authorized Official Name and Position | Natalie Ann Brooksmcmahon (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6075845474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
169 Riverside Drive Credentialing Dept @ Lbc Binghamton NY 13905 Ph: (607) 584-5474 | 184 Court St Binghamton NY 13901-3515 Ph: (607) 584-4465 |
| NPI Number | 1649947649 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Medicare PECOS PAC ID | 1254237779 |
|---|---|
| Medicare Enrollment ID | O20211221000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649947649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jeanette J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912948753 PECOS PAC ID: 5799727210 Enrollment ID: I20050525000470 |
| Provider Name | Michael Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568426732 PECOS PAC ID: 2062540842 Enrollment ID: I20100515000013 |
| Provider Name | Dawn Desorcie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295136943 PECOS PAC ID: 4880962489 Enrollment ID: I20170623000805 |
| Provider Name | Jason Mancini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255579405 PECOS PAC ID: 4385913607 Enrollment ID: I20170629002628 |
| Provider Name | Sherrie Rita Saluc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871816652 PECOS PAC ID: 6709147325 Enrollment ID: I20180222002004 |
| Provider Name | Colleen M Coddington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437719143 PECOS PAC ID: 2062741275 Enrollment ID: I20190913001372 |
Validation Counseling Services Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 35 Front St, Binghamton, NY 13905 Phone: 607-206-3815 Fax: 607-722-6245 | |
United Health Services Hospitals, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10-42 Mitchell Ave, Binghamton, NY 13903 Phone: 607-762-3027 Fax: 607-762-2065 | |
Alternatives Counseling Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Mill St, Binghamton, NY 13903 Phone: 607-722-1836 | |
Therapy Service Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1121 Upper Front St, Binghamton, NY 13905 Phone: 607-297-8720 | |
Alternatives Counseling L.c.s.w. Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 37 Mill St, Binghamton, NY 13903 Phone: 607-722-1836 | |
Broome County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 229-231 State St, Binghamton, NY 13901 Phone: 607-778-1152 Fax: 607-778-1164 |