| North Country Behavioral Medicine Pllc | |
|
8 Broad St Plattsburgh NY 12901-3420 | |
| (518) 825-1555 | |
| (518) 825-1550 |
| Full Name | North Country Behavioral Medicine Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8 Broad St, Plattsburgh, New York |
| Authorized Official Name and Position | Dino Santoro (MEMBER) |
| Authorized Official Contact | 5188251555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Behavioral Medicine Pllc 8 Broad St Plattsburgh NY 12901-3420 Ph: (518) 825-1555 | North Country Behavioral Medicine Pllc 8 Broad St Plattsburgh NY 12901-3420 Ph: (518) 825-1555 |
| NPI Number | 1881121234 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 12/09/2023 |
| Certification Date | 12/09/2023 |
| Medicare PECOS PAC ID | 2668744756 |
|---|---|
| Medicare Enrollment ID | O20170824001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881121234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 272676 (New York) | Primary |
| Provider Name | Carmen A Chroback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588626048 PECOS PAC ID: 7113911488 Enrollment ID: I20040409000538 |
| Provider Name | Amy A Larmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639253172 PECOS PAC ID: 6406957364 Enrollment ID: I20070721000005 |
| Provider Name | Steven S Keyser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255515078 PECOS PAC ID: 5698806065 Enrollment ID: I20100629000239 |
| Provider Name | Dino Santoro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487062584 PECOS PAC ID: 7315166428 Enrollment ID: I20140922001484 |
| Provider Name | Barbara A Denton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447502869 PECOS PAC ID: 3476877549 Enrollment ID: I20150120001484 |
| Provider Name | Darcy Elias Hathaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053584052 PECOS PAC ID: 3779801964 Enrollment ID: I20150420001454 |
| Provider Name | Archil Chechelashvili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609989102 PECOS PAC ID: 9537252499 Enrollment ID: I20160907001637 |
| Provider Name | Jill Anita Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861001836 PECOS PAC ID: 1153740543 Enrollment ID: I20201005001591 |
| Provider Name | Megan A Emery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477956803 PECOS PAC ID: 0840602363 Enrollment ID: I20201207002139 |
| Provider Name | Sara E Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306331350 PECOS PAC ID: 3870988744 Enrollment ID: I20220312000225 |
| Provider Name | Jamie Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962083048 PECOS PAC ID: 0244681674 Enrollment ID: I20240110000079 |
| Provider Name | Jenna Seymour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316456130 PECOS PAC ID: 5092186718 Enrollment ID: I20240123004195 |
| Provider Name | Skylar Hunyadi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033751532 PECOS PAC ID: 5991176406 Enrollment ID: I20240124000742 |
| Provider Name | Alicia Gorman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174911614 PECOS PAC ID: 6507237245 Enrollment ID: I20240129001607 |
| Provider Name | Dana Brassard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700331477 PECOS PAC ID: 3072966803 Enrollment ID: I20240129002828 |
| Provider Name | Taylor Rae West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396348736 PECOS PAC ID: 7012360852 Enrollment ID: I20240129003100 |
| Provider Name | Carissa Provost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568125383 PECOS PAC ID: 1951754605 Enrollment ID: I20240129003849 |
| Provider Name | Jamey Marie Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235204504 PECOS PAC ID: 8123471836 Enrollment ID: I20240130001002 |
| Provider Name | Kenneth Bezio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497130793 PECOS PAC ID: 2961873682 Enrollment ID: I20240201003728 |
| Provider Name | Ashley Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598240244 PECOS PAC ID: 7719358662 Enrollment ID: I20240311002074 |
| Provider Name | Arlis Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356983720 PECOS PAC ID: 4183064488 Enrollment ID: I20240503001581 |
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Lorna J. Clark Md Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Hammond Ln, Suite A, Plattsburgh, NY 12901 Phone: 518-561-0063 Fax: 518-561-0947 | |
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Champlain Valley Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Hammond Lane, Suite A, Plattsburgh, NY 12901 Phone: 518-561-0063 Fax: 518-561-0947 | |
Mandala Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Smart Rd, Plattsburgh, NY 12901 Phone: 917-538-2531 | |
Mental Health & Addiction Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 130 Arizona Ave Ste 1500, Plattsburgh, NY 12903 Phone: 518-565-4060 Fax: 518-566-0168 | |
Ember Root, Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Durkee St Ste 600b, Plattsburgh, NY 12901 Phone: 518-569-6008 |