| Pine Bush Mental Health, Llp | |
|
1a Pine West Plz Albany NY 12205-5556 | |
| (518) 862-1665 | |
| (518) 862-1668 |
| Full Name | Pine Bush Mental Health, Llp |
|---|---|
| Speciality | Psychologist |
| Location | 1a Pine West Plz, Albany, New York |
| Authorized Official Name and Position | Patricia Polanik Miller (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5188621665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Bush Mental Health, Llp 1a Pine West Plz Albany NY 12205-5556 Ph: (518) 862-1665 | Pine Bush Mental Health, Llp 1a Pine West Plz Albany NY 12205-5556 Ph: (518) 862-1665 |
| NPI Number | 1962572362 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547363327 |
|---|---|
| Medicare Enrollment ID | O20070315000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962572362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 014323 (New York) | Primary |
| Provider Name | Rhonda K Landis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740397488 PECOS PAC ID: 7416924154 Enrollment ID: I20040913001126 |
| Provider Name | Steven D Kronick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144215344 PECOS PAC ID: 4981660255 Enrollment ID: I20041208000517 |
| Provider Name | Patricia P Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831257740 PECOS PAC ID: 2668474206 Enrollment ID: I20070209000486 |
| Provider Name | Rose J Capurso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891823472 PECOS PAC ID: 4880797661 Enrollment ID: I20111114000496 |
| Provider Name | M Katherine Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174647085 PECOS PAC ID: 1254434038 Enrollment ID: I20120502000221 |
| Provider Name | Lori S Matulewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679993828 PECOS PAC ID: 4486872629 Enrollment ID: I20140829000320 |
| Provider Name | Timothy D Landis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972601425 PECOS PAC ID: 5092037507 Enrollment ID: I20141211000071 |
Tom D'agostino, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Pine West Plz Ste 512, Albany, NY 12205 Phone: 914-438-3991 | |
Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 South Manning Blvd, Suite 6512, Albany, NY 12208 Phone: 518-525-1304 | |
Threat Assessment & Risk Management Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Western Ave, Albany, NY 12203 Phone: 518-439-2379 | |
Rainbow Access Initiative Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Colvin Ave Ste 102, Albany, NY 12206 Phone: 518-438-2222 | |
Evelyn Karpel, Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 Madison Ave Ste 202, Albany, NY 12208 Phone: 518-217-5742 | |
Case Management Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Green Street, Albany, NY 12202 Phone: 518-447-4550 Fax: 518-447-2045 | |
National Alliance On Mental Illness-new York State Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Pine St, Suite 105, Albany, NY 12207 Phone: 518-462-2000 |