Mountain Mental Health Group | |
120 Schuyler St Boonville NY 13309-1005 | |
(315) 942-4252 | |
(315) 942-3207 |
Full Name | Mountain Mental Health Group |
---|---|
Speciality | Social Worker |
Location | 120 Schuyler St, Boonville, New York |
Authorized Official Name and Position | Barbara Rice (GENERAL PARTNER) |
Authorized Official Contact | 3159424252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mountain Mental Health Group Po Box 211 Boonville NY 13309-0211 Ph: (315) 942-4252 | Mountain Mental Health Group 120 Schuyler St Boonville NY 13309-1005 Ph: (315) 942-4252 |
NPI Number | 1487646279 |
---|---|
Provider Enumeration Date | 08/17/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3870875024 |
---|---|
Medicare Enrollment ID | O20170123002293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487646279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Timothy F Dowling |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154489813 PECOS PAC ID: 7416173711 Enrollment ID: I20140723000021 |
Melanie Saber Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 406 Post St, Boonville, NY 13309 Phone: 315-358-4398 |