| Port Jefferson Psychological & Vocational P.c. | |
|
5225-46 Route 347 Port Jefferson Station NY 11776-2060 | |
| (631) 928-4635 | |
| (631) 928-4784 |
| Full Name | Port Jefferson Psychological & Vocational P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5225-46 Route 347, Port Jefferson Station, New York |
| Authorized Official Name and Position | Sarah C Long (OWNER) |
| Authorized Official Contact | 6319284635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Jefferson Psychological & Vocational P.c. 5225-46 Route 347 Port Jefferson Station NY 11776-2060 Ph: (631) 928-4635 | Port Jefferson Psychological & Vocational P.c. 5225-46 Route 347 Port Jefferson Station NY 11776-2060 Ph: (631) 928-4635 |
| NPI Number | 1598875692 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 9133018682 |
|---|---|
| Medicare Enrollment ID | O20080226000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598875692 | NPI | - | NPPES |
| 144865 | Other | VALUE OPTIONS | |
| 02416457 | Medicaid | NY | |
| 7333181002 | Other | GHI | |
| 211135000 | Other | MAGELLAN |
| Provider Name | Colleen J Kalman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346324241 PECOS PAC ID: 9931173424 Enrollment ID: I20040820000935 |
| Provider Name | Marsha S Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588671655 PECOS PAC ID: 8820014798 Enrollment ID: I20051020000039 |
| Provider Name | Teresa K Maguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629253596 PECOS PAC ID: 1456434299 Enrollment ID: I20080216000000 |
| Provider Name | Elizabeth M Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295956886 PECOS PAC ID: 2264621762 Enrollment ID: I20110114000438 |
| Provider Name | Sarah C W Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326208570 PECOS PAC ID: 5799943288 Enrollment ID: I20120301000426 |
| Provider Name | Ronda J Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780721167 PECOS PAC ID: 2769614031 Enrollment ID: I20140421001015 |
| Provider Name | Bill Rene Meritet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245277862 PECOS PAC ID: 5092726174 Enrollment ID: I20170717002112 |
| Provider Name | Patrick J Mccauley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619483989 PECOS PAC ID: 4981965332 Enrollment ID: I20180227000464 |
| Provider Name | Samantha Lynn Sweeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598483331 PECOS PAC ID: 1557739570 Enrollment ID: I20221123001430 |
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