| Ontario County | |
|
3019 County Complex Dr Canandaigua NY 14424-9505 | |
| (585) 396-4363 | |
| (585) 396-4993 |
| Full Name | Ontario County |
|---|---|
| Speciality | Social Worker |
| Location | 3019 County Complex Dr, Canandaigua, New York |
| Authorized Official Name and Position | Jessica Mitchell (DIRECTOR) |
| Authorized Official Contact | 5853964363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ontario County 3019 County Complex Dr Canandaigua NY 14424-9505 Ph: (585) 396-4363 | Ontario County 3019 County Complex Dr Canandaigua NY 14424-9505 Ph: (585) 396-4363 |
| NPI Number | 1003802190 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Medicare PECOS PAC ID | 3779482252 |
|---|---|
| Medicare Enrollment ID | O20040719000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003802190 | NPI | - | NPPES |
| 00357846 | Medicaid | NY | |
| 014003729 | Other | NY | MENTAL HEALTH OUTPATIENT |
| 103283EU | Other | NY | MENTAL HEALTH OUTPATIENT |
| EM | Other | NY | MENTAL HEALTH OUTPATIENT |
| 3109089 | Other | NY | MENTAL HEALTH OUTPATIENT |
| Provider Name | Kathleen S Cardegna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023138146 PECOS PAC ID: 8628963766 Enrollment ID: I20040218000452 |
| Provider Name | Betsy J Bittman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376630756 PECOS PAC ID: 4688651359 Enrollment ID: I20040630000911 |
| Provider Name | Robert L Mick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518002005 PECOS PAC ID: 9133107469 Enrollment ID: I20040712001414 |
| Provider Name | Jessica R Norton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194827725 PECOS PAC ID: 4385683788 Enrollment ID: I20050426000576 |
| Provider Name | John J Sharza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073622197 PECOS PAC ID: 1254467392 Enrollment ID: I20100329000637 |
| Provider Name | Andrea Faulkner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649348897 PECOS PAC ID: 4880879147 Enrollment ID: I20110502000049 |
| Provider Name | Lilah J Crelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144508045 PECOS PAC ID: 6709058795 Enrollment ID: I20111018000169 |
| Provider Name | James E Ditmars |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932213196 PECOS PAC ID: 7517130610 Enrollment ID: I20111107000258 |
| Provider Name | Carin Chattin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891022489 PECOS PAC ID: 1951558733 Enrollment ID: I20120830000078 |
| Provider Name | Shabnamzehra Bhojani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366706996 PECOS PAC ID: 3476795881 Enrollment ID: I20130815000004 |
| Provider Name | Jessica Diane Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447508791 PECOS PAC ID: 7719113901 Enrollment ID: I20131118000734 |
| Provider Name | Peter D Guarino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235446824 PECOS PAC ID: 1658502679 Enrollment ID: I20140314001360 |
| Provider Name | Veronica A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955983 PECOS PAC ID: 9537458799 Enrollment ID: I20160512000122 |
| Provider Name | Zaid Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679862270 PECOS PAC ID: 1658659883 Enrollment ID: I20161024000357 |
| Provider Name | Lynn Lebrecht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750731857 PECOS PAC ID: 4082982004 Enrollment ID: I20170616000106 |
| Provider Name | Melissa Lynn Cantiello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346521358 PECOS PAC ID: 9739441791 Enrollment ID: I20180403000892 |
| Provider Name | Kaitlyn Berube |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437561701 PECOS PAC ID: 2668727157 Enrollment ID: I20180625002918 |
| Provider Name | Theresa Markin Dey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932762044 PECOS PAC ID: 8022349547 Enrollment ID: I20191015002592 |
| Provider Name | Elizabeth S Harre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043410459 PECOS PAC ID: 0648607549 Enrollment ID: I20200304002622 |
| Provider Name | Gretchen N Foley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760576318 PECOS PAC ID: 3173812591 Enrollment ID: I20200810003115 |
| Provider Name | Eunjie K Klegar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548568413 PECOS PAC ID: 5799909883 Enrollment ID: I20220708001137 |
| Provider Name | Dennis G Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427772482 PECOS PAC ID: 0446624316 Enrollment ID: I20240531002147 |
John C Marino Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 West Street, 500, Canandaigua, NY 14424 Phone: 585-905-0061 Fax: 585-412-6612 | |
Jonathan Grasso Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 | |
Pathways, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 State Route 21, Canandaigua, NY 14424 Phone: 585-394-0380 Fax: 585-394-0385 | |
Life's Canvas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 S Main St, Canandaigua, NY 14424 Phone: 585-857-6122 | |
Dragonfly Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5297 Parkside Dr Ste 420a, Canandaigua, NY 14424 Phone: 585-337-0792 |