| New Paradigm Psychological Services | |
|
845 Central Ave Ste 1 Albany NY 12206-1514 | |
| (518) 729-3953 | |
| Not Available |
| Full Name | New Paradigm Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 845 Central Ave Ste 1, Albany, New York |
| Authorized Official Name and Position | Timothy Wisniewski (OWNER/PARTNER) |
| Authorized Official Contact | 5187293953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Paradigm Psychological Services 845 Central Ave Ste 1 Albany NY 12206-1514 Ph: (518) 729-3953 | New Paradigm Psychological Services 845 Central Ave Ste 1 Albany NY 12206-1514 Ph: (518) 729-3953 |
| NPI Number | 1215559125 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Medicare PECOS PAC ID | 4183036288 |
|---|---|
| Medicare Enrollment ID | O20201215000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215559125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Timothy James Wisniewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154959963 PECOS PAC ID: 7719399815 Enrollment ID: I20201221002393 |
| Provider Name | Julia Helen Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629535687 PECOS PAC ID: 7416300652 Enrollment ID: I20240124002626 |
| Provider Name | Amanda L Peltier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528696317 PECOS PAC ID: 4486007630 Enrollment ID: I20240124002788 |
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