| Mental Health Connections | |
|
1500 Genesee St Utica NY 13502-5104 | |
| (315) 735-9501 | |
| (315) 735-9769 |
| Full Name | Mental Health Connections |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1500 Genesee St, Utica, New York |
| Authorized Official Name and Position | Timothy J Giassasso (PRESIDENT CEO) |
| Authorized Official Contact | 3157359501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Connections 2260 Dwyer Ave. Utica NY 13501 Ph: (315) 724-9891 | Mental Health Connections 1500 Genesee St Utica NY 13502-5104 Ph: (315) 735-9501 |
| NPI Number | 1891703799 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891703799 | NPI | - | NPPES |
| 01158465 | Medicaid | NY | |
| 03007343 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6276110A (New York) | Primary |
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