| Penfield Psychiatry Pc | |
|
421 Penbrooke Dr Suite 12 A Penfield NY 14526-2045 | |
| (585) 388-6000 | |
| (585) 388-6004 |
| Full Name | Penfield Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 421 Penbrooke Dr, Penfield, New York |
| Authorized Official Name and Position | Robert A Stern (PRESIDENT) |
| Authorized Official Contact | 5853886000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penfield Psychiatry Pc 421 Penbrooke Dr Suite 12 A Penfield NY 14526-2045 Ph: (585) 388-6000 | Penfield Psychiatry Pc 421 Penbrooke Dr Suite 12 A Penfield NY 14526-2045 Ph: (585) 388-6000 |
| NPI Number | 1649544115 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 10/30/2012 |
| Medicare PECOS PAC ID | 2365693264 |
|---|---|
| Medicare Enrollment ID | O20121126000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649544115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 164491 (New York) | Primary |
| Provider Name | Robert A Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710023205 PECOS PAC ID: 2365486743 Enrollment ID: I20050616000336 |
| Provider Name | Pamela H King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124052527 PECOS PAC ID: 1052319076 Enrollment ID: I20061129000144 |
| Provider Name | Rachael L Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578697223 PECOS PAC ID: 6305933888 Enrollment ID: I20071031000065 |
| Provider Name | Maryann Mangiola Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760664338 PECOS PAC ID: 1456433853 Enrollment ID: I20080124000079 |
| Provider Name | Anne Marie Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548561996 PECOS PAC ID: 3678715067 Enrollment ID: I20130814000757 |
| Provider Name | Gayle H Alesi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255588836 PECOS PAC ID: 5799091641 Enrollment ID: I20150909000037 |
| Provider Name | Donna R Wilber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073662763 PECOS PAC ID: 5597053678 Enrollment ID: I20161005000139 |
| Provider Name | Pamela A Marini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487737201 PECOS PAC ID: 9436331451 Enrollment ID: I20161104000138 |
| Provider Name | Katie M Rauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922436765 PECOS PAC ID: 2860772811 Enrollment ID: I20161208000552 |
| Provider Name | James Valinoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245756154 PECOS PAC ID: 7315212008 Enrollment ID: I20171005002054 |
| Provider Name | Jennifer A Meeks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629452404 PECOS PAC ID: 7618231911 Enrollment ID: I20180515000957 |
| Provider Name | Aiko Takemura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598153215 PECOS PAC ID: 9234488404 Enrollment ID: I20180821002700 |
| Provider Name | Pamela D Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700071362 PECOS PAC ID: 9133514268 Enrollment ID: I20220328000684 |
| Provider Name | Nithin Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891019881 PECOS PAC ID: 2860717576 Enrollment ID: I20231205001055 |
| Provider Name | Jennifer Michael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063725489 PECOS PAC ID: 8426494030 Enrollment ID: I20240306000316 |
Agape Counseling Associates Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Willow Pond Way, Suite 103, Penfield, NY 14526 Phone: 585-385-6030 | |
Renew Mental Health Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1794 Penfield Rd, Penfield, NY 14526 Phone: 585-210-8656 | |
Upstate Music Therapy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Penbrooke Dr Bldg 3, Penfield, NY 14526 Phone: 585-377-1000 | |
Fresh Alternative Counseling, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Willow Pond Way Ste 204, Penfield, NY 14526 Phone: 585-282-6091 | |
Adena Shoshan Psyd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 441 Penbrooke Dr Ste 1, Penfield, NY 14526 Phone: 585-454-9904 Fax: 585-286-4487 | |
Darcy Collins Lcsw-r Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Penbrooke Dr Ste 1, Penfield, NY 14526 Phone: 585-398-8835 Fax: 585-398-7376 |