| Psychiatry Faculty Practice, Inc. | |
|
713 Harrison St Syracuse NY 13210-2305 | |
| (315) 464-3119 | |
| (315) 464-3282 |
| Full Name | Psychiatry Faculty Practice, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 713 Harrison St, Syracuse, New York |
| Authorized Official Name and Position | Barbara A Svoboda (PRACTICE PLAN ADMINISTRATOR) |
| Authorized Official Contact | 3154643119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Faculty Practice, Inc. 713 Harrison St Syracuse NY 13210-2305 Ph: (315) 464-3119 | Psychiatry Faculty Practice, Inc. 713 Harrison St Syracuse NY 13210-2305 Ph: (315) 464-3119 |
| NPI Number | 1881084820 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Medicare PECOS PAC ID | 9234458530 |
|---|---|
| Medicare Enrollment ID | O20150508000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881084820 | NPI | - | NPPES |
| 00570654 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nasri N Ghaly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063479939 PECOS PAC ID: 5395640791 Enrollment ID: I20031126000578 |
| Provider Name | Adekola O Alao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265457196 PECOS PAC ID: 3476443383 Enrollment ID: I20040316000744 |
| Provider Name | Teresa M Hargrave |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639132079 PECOS PAC ID: 6103881982 Enrollment ID: I20041122000032 |
| Provider Name | Kristen M Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900582 PECOS PAC ID: 2466479183 Enrollment ID: I20051101000309 |
| Provider Name | Amruthur Gita Ramamurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205894722 PECOS PAC ID: 7113945049 Enrollment ID: I20051109000156 |
| Provider Name | Ahmed R Nizar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063590115 PECOS PAC ID: 7719907633 Enrollment ID: I20051207000265 |
| Provider Name | Mohammad M Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952497273 PECOS PAC ID: 5092737759 Enrollment ID: I20051222000067 |
| Provider Name | Ronald D Saletsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497781504 PECOS PAC ID: 0345256657 Enrollment ID: I20060223000566 |
| Provider Name | Roberta T Saletsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821014200 PECOS PAC ID: 5597761262 Enrollment ID: I20061020000170 |
| Provider Name | Wendy E Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427084409 PECOS PAC ID: 4587769195 Enrollment ID: I20070410000309 |
| Provider Name | Holly A Vanderhoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427158948 PECOS PAC ID: 9133225857 Enrollment ID: I20070426000146 |
| Provider Name | Saundra Barnett Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689783748 PECOS PAC ID: 3072603455 Enrollment ID: I20071221000495 |
| Provider Name | Muslim Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396760740 PECOS PAC ID: 5597846600 Enrollment ID: I20080115000463 |
| Provider Name | Kevin R Oconnor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831368349 PECOS PAC ID: 9931271384 Enrollment ID: I20080701000128 |
| Provider Name | Zsuzsa Szombathyne Meszaros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174715114 PECOS PAC ID: 9638238124 Enrollment ID: I20081113000185 |
| Provider Name | Georgian T Mustata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629239652 PECOS PAC ID: 1759441710 Enrollment ID: I20081120000322 |
| Provider Name | Brian D Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528026119 PECOS PAC ID: 8729006077 Enrollment ID: I20090129000196 |
| Provider Name | Prashant Kaul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740446574 PECOS PAC ID: 1456540806 Enrollment ID: I20110115000005 |
| Provider Name | Richard M Oneill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184650293 PECOS PAC ID: 2163604729 Enrollment ID: I20110303000630 |
| Provider Name | Mantosh J Dewan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023053725 PECOS PAC ID: 3072545185 Enrollment ID: I20110303000682 |
| Provider Name | John M Manring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518994664 PECOS PAC ID: 6406038082 Enrollment ID: I20110303000812 |
| Provider Name | Marvin Koss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275560294 PECOS PAC ID: 4082896667 Enrollment ID: I20110303000867 |
| Provider Name | James L Megna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083640049 PECOS PAC ID: 9830371392 Enrollment ID: I20110304000836 |
| Provider Name | Thomas L Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447286406 PECOS PAC ID: 3072795541 Enrollment ID: I20110305000004 |
| Provider Name | Robert J Gregory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245267384 PECOS PAC ID: 4981886454 Enrollment ID: I20110305000006 |
| Provider Name | Elena C Nichita |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639121858 PECOS PAC ID: 1951316116 Enrollment ID: I20110906000254 |
| Provider Name | Celia Kamps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376790097 PECOS PAC ID: 4284808866 Enrollment ID: I20111116000452 |
| Provider Name | Paula M Trief |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972544930 PECOS PAC ID: 0749456630 Enrollment ID: I20111227000122 |
| Provider Name | Alexander J Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740592344 PECOS PAC ID: 6406019793 Enrollment ID: I20120524000187 |
| Provider Name | Nancy F Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962586925 PECOS PAC ID: 4486817798 Enrollment ID: I20120524000427 |
| Provider Name | Jessica L Lefebvre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952565921 PECOS PAC ID: 5890945505 Enrollment ID: I20121015000416 |
| Provider Name | Sunny P Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912161159 PECOS PAC ID: 4981843232 Enrollment ID: I20130617000385 |
| Provider Name | Abigail J Riggall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023343746 PECOS PAC ID: 5597999722 Enrollment ID: I20131002000004 |
| Provider Name | Toni Usev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720420714 PECOS PAC ID: 9931333739 Enrollment ID: I20131010000689 |
| Provider Name | Colleen Waltz Curr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992146054 PECOS PAC ID: 5395973192 Enrollment ID: I20140123001502 |
| Provider Name | Anthony P. Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635845 PECOS PAC ID: 7214925940 Enrollment ID: I20140218001102 |
| Provider Name | Colin K Dauria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205942752 PECOS PAC ID: 2264586890 Enrollment ID: I20140618001304 |
| Provider Name | Erika L Demarche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093677 PECOS PAC ID: 1557581527 Enrollment ID: I20140926000186 |
| Provider Name | Violet M Baruti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289919 PECOS PAC ID: 4880816669 Enrollment ID: I20141111001254 |
| Provider Name | Jennifer Anne Rapke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578756441 PECOS PAC ID: 0547581431 Enrollment ID: I20150603002663 |
| Provider Name | Lubov Leontieva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174814222 PECOS PAC ID: 1658685318 Enrollment ID: I20150810000050 |
| Provider Name | Amy L Casale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851606529 PECOS PAC ID: 5799093712 Enrollment ID: I20150924001702 |
| Provider Name | Cynthia R Malek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154519528 PECOS PAC ID: 3971803164 Enrollment ID: I20151119000845 |
| Provider Name | Lynn M. Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801184346 PECOS PAC ID: 8325341662 Enrollment ID: I20160121000022 |
| Provider Name | Nicolas Pauly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790192508 PECOS PAC ID: 8527362631 Enrollment ID: I20160210002435 |
| Provider Name | Eric Richard Macmaster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386936276 PECOS PAC ID: 3870886302 Enrollment ID: I20160721001300 |
| Provider Name | Stephanie M. Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306286927 PECOS PAC ID: 2163716994 Enrollment ID: I20160802001953 |
| Provider Name | Theresa M Blatchford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437411048 PECOS PAC ID: 9537455142 Enrollment ID: I20160908000769 |
| Provider Name | Ann M Nardozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841642006 PECOS PAC ID: 3971891649 Enrollment ID: I20161012001526 |
| Provider Name | Tolani O Ajagbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730462656 PECOS PAC ID: 4183912488 Enrollment ID: I20161019000284 |
| Provider Name | Ann M Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417052051 PECOS PAC ID: 8224216700 Enrollment ID: I20161115000450 |
| Provider Name | Danielle L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437445368 PECOS PAC ID: 0345522017 Enrollment ID: I20170113000970 |
| Provider Name | Viral V Goradia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871880989 PECOS PAC ID: 1557648185 Enrollment ID: I20170508001560 |
| Provider Name | Hilary M Gamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730448382 PECOS PAC ID: 2860769528 Enrollment ID: I20170531000274 |
| Provider Name | Justin Patrick Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790028322 PECOS PAC ID: 4880992916 Enrollment ID: I20170608000508 |
| Provider Name | Edward S Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255865341 PECOS PAC ID: 8921378654 Enrollment ID: I20170727003186 |
| Provider Name | Allyson J Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948776 PECOS PAC ID: 3870866734 Enrollment ID: I20170829002255 |
| Provider Name | Christopher P Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558418566 PECOS PAC ID: 8325313257 Enrollment ID: I20171003006819 |
| Provider Name | Joseph J Biedrzycki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437593043 PECOS PAC ID: 1658630595 Enrollment ID: I20180122002368 |
| Provider Name | Philip P Paparone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699110403 PECOS PAC ID: 9335401835 Enrollment ID: I20180321001779 |
| Provider Name | Benjamin A Milczarski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134564107 PECOS PAC ID: 5890057004 Enrollment ID: I20180328002519 |
| Provider Name | Scott F Ulberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700297686 PECOS PAC ID: 4385990787 Enrollment ID: I20180627001006 |
| Provider Name | Nevena Radonjic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245644756 PECOS PAC ID: 6709134331 Enrollment ID: I20180730002353 |
| Provider Name | Kyra D Danneker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528553336 PECOS PAC ID: 2961752613 Enrollment ID: I20180830001581 |
| Provider Name | Erik F Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790270387 PECOS PAC ID: 6406106723 Enrollment ID: I20180907001496 |
| Provider Name | Bettie Loughrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164745584 PECOS PAC ID: 7113277179 Enrollment ID: I20180912002313 |
| Provider Name | Nayla M Khoury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568738748 PECOS PAC ID: 7618270489 Enrollment ID: I20180921002450 |
| Provider Name | Sarah A Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639663966 PECOS PAC ID: 1759633407 Enrollment ID: I20181009001107 |
| Provider Name | Glenn H Forsythe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447559497 PECOS PAC ID: 0547513681 Enrollment ID: I20181019000537 |
| Provider Name | Susan D Sperry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740763366 PECOS PAC ID: 5991058166 Enrollment ID: I20181106000508 |
| Provider Name | Saba S Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330493 PECOS PAC ID: 0446504468 Enrollment ID: I20181109002684 |
| Provider Name | Kevin Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396155511 PECOS PAC ID: 5496067779 Enrollment ID: I20190124003355 |
| Provider Name | Jason Lulejian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245643048 PECOS PAC ID: 8426395062 Enrollment ID: I20190517000237 |
| Provider Name | Andy A Beltran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093192031 PECOS PAC ID: 5799022323 Enrollment ID: I20190816001476 |
| Provider Name | Thomas G Ringwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609434299 PECOS PAC ID: 0345578217 Enrollment ID: I20190830000703 |
| Provider Name | Taylor J Masoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811554611 PECOS PAC ID: 7416286851 Enrollment ID: I20190910001013 |
| Provider Name | John J Ringhisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023675881 PECOS PAC ID: 7315277704 Enrollment ID: I20190927001039 |
| Provider Name | Michelle L Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265099022 PECOS PAC ID: 1355774134 Enrollment ID: I20191209002730 |
| Provider Name | Robert P Kallinicos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780819342 PECOS PAC ID: 4880019942 Enrollment ID: I20200806000864 |
| Provider Name | Seethalakshmi Ramanathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548593957 PECOS PAC ID: 5890019483 Enrollment ID: I20200812002771 |
| Provider Name | Soojae L Hollowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437591138 PECOS PAC ID: 3779718358 Enrollment ID: I20200820001265 |
| Provider Name | Priyanka Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053796045 PECOS PAC ID: 0143566935 Enrollment ID: I20200911000575 |
| Provider Name | Syed F Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679198857 PECOS PAC ID: 0547688673 Enrollment ID: I20200922000679 |
| Provider Name | Kayson O Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134780372 PECOS PAC ID: 6709205941 Enrollment ID: I20201007002134 |
| Provider Name | Yichao Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482282 PECOS PAC ID: 7315358926 Enrollment ID: I20201202001653 |
| Provider Name | Kathryn M Hagen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912387606 PECOS PAC ID: 4688085293 Enrollment ID: I20201202001685 |
| Provider Name | Carol S Polacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164482634 PECOS PAC ID: 8123297314 Enrollment ID: I20201211002718 |
| Provider Name | Candace S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346866829 PECOS PAC ID: 3779996202 Enrollment ID: I20201230001664 |
| Provider Name | Jeffrey S Macdaniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013159482 PECOS PAC ID: 2163769779 Enrollment ID: I20210105000616 |
| Provider Name | Steven P Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154603793 PECOS PAC ID: 4981011848 Enrollment ID: I20210322002063 |
| Provider Name | Afton N Kapuscinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912327495 PECOS PAC ID: 8628487501 Enrollment ID: I20210505000959 |
| Provider Name | Scott D Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528384930 PECOS PAC ID: 7416173547 Enrollment ID: I20210611002629 |
| Provider Name | Nekpen S Ekure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467984021 PECOS PAC ID: 2769729383 Enrollment ID: I20210707000171 |
| Provider Name | Helga R Herold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033526686 PECOS PAC ID: 8325384134 Enrollment ID: I20210713003650 |
| Provider Name | Ingrid M Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427631035 PECOS PAC ID: 4880097401 Enrollment ID: I20210720002885 |
| Provider Name | Elyssa H Max |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972187839 PECOS PAC ID: 7618370156 Enrollment ID: I20210721004070 |
| Provider Name | Kristen E Cominsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194393421 PECOS PAC ID: 8123422615 Enrollment ID: I20210805001062 |
| Provider Name | Nikima Glatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730764887 PECOS PAC ID: 2961806468 Enrollment ID: I20210805001470 |
| Provider Name | Rebecca J Shields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497289045 PECOS PAC ID: 1850638495 Enrollment ID: I20210810003005 |
| Provider Name | Rachael H Kuch-cecconi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851747265 PECOS PAC ID: 9032456645 Enrollment ID: I20210817000438 |
| Provider Name | Shauna M Roloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093489833 PECOS PAC ID: 0749686574 Enrollment ID: I20210902001679 |
| Provider Name | Shannon K Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902089238 PECOS PAC ID: 1850624263 Enrollment ID: I20210902002099 |
| Provider Name | Rebecca J Waldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669149100 PECOS PAC ID: 5092112995 Enrollment ID: I20210920002320 |
| Provider Name | Tara E Wellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407428071 PECOS PAC ID: 4183014145 Enrollment ID: I20211206001583 |
| Provider Name | Alexandra A Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447794037 PECOS PAC ID: 3870985971 Enrollment ID: I20220124000564 |
| Provider Name | Walter Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142691 PECOS PAC ID: 2264819853 Enrollment ID: I20220520000909 |
| Provider Name | Joseph C Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922531672 PECOS PAC ID: 0749527380 Enrollment ID: I20220520001448 |
| Provider Name | Fairouz Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275029613 PECOS PAC ID: 8123365764 Enrollment ID: I20220624000671 |
| Provider Name | Edward M Bach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972098754 PECOS PAC ID: 4688911217 Enrollment ID: I20220627002638 |
| Provider Name | Dara A Yastrzemski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962153809 PECOS PAC ID: 4880074509 Enrollment ID: I20220712000334 |
| Provider Name | Vanessa B Gachette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588038160 PECOS PAC ID: 4284016049 Enrollment ID: I20220727000883 |
| Provider Name | Christopher R Botash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295180545 PECOS PAC ID: 8426395054 Enrollment ID: I20220810001086 |
| Provider Name | Cathy H Sinnott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700531399 PECOS PAC ID: 5597148817 Enrollment ID: I20220819001091 |
| Provider Name | Andrew W Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700523255 PECOS PAC ID: 4981088036 Enrollment ID: I20220908002639 |
| Provider Name | Denise A Gomolak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881705804 PECOS PAC ID: 0042218877 Enrollment ID: I20220914001765 |
| Provider Name | Paula M Sanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972234441 PECOS PAC ID: 1850777590 Enrollment ID: I20221003002214 |
| Provider Name | Emma S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023755212 PECOS PAC ID: 2264818509 Enrollment ID: I20221010002804 |
| Provider Name | Kyle D Groshans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336751627 PECOS PAC ID: 1254708076 Enrollment ID: I20221108002973 |
| Provider Name | Brianna S. Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871254102 PECOS PAC ID: 0143697839 Enrollment ID: I20221109002545 |
| Provider Name | Daniel Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366975989 PECOS PAC ID: 3577800184 Enrollment ID: I20221111000099 |
| Provider Name | Sarah R Lafont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780243840 PECOS PAC ID: 7719354307 Enrollment ID: I20221111000469 |
| Provider Name | Emily Lepage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861118432 PECOS PAC ID: 0749650075 Enrollment ID: I20230103001963 |
| Provider Name | Maureen L Nardozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700513140 PECOS PAC ID: 5799157640 Enrollment ID: I20230202002189 |
| Provider Name | Wanda P. Fremont |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366486656 PECOS PAC ID: 7719344852 Enrollment ID: I20230606001764 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366769390 PECOS PAC ID: 0042677080 Enrollment ID: I20230606002020 |
| Provider Name | Sutanaya Pal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356903017 PECOS PAC ID: 2961860713 Enrollment ID: I20230627000180 |
| Provider Name | Michael O Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422648 PECOS PAC ID: 6103288212 Enrollment ID: I20230821003257 |
| Provider Name | Cindy Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366472409 PECOS PAC ID: 7214153584 Enrollment ID: I20230906001562 |
| Provider Name | Joseph M Strayhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891912119 PECOS PAC ID: 2567832249 Enrollment ID: I20230921003634 |
| Provider Name | Peter Karandeyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922706902 PECOS PAC ID: 7517311509 Enrollment ID: I20230925002579 |
| Provider Name | Sandrene T. Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922703214 PECOS PAC ID: 4981059409 Enrollment ID: I20231018001120 |
| Provider Name | Jacquelynn Schultz Duquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648733 PECOS PAC ID: 7315160256 Enrollment ID: I20231207001337 |
| Provider Name | Janelle Allanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790468684 PECOS PAC ID: 1557711769 Enrollment ID: I20240102000291 |
| Provider Name | Melissa Button |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194281972 PECOS PAC ID: 8224471412 Enrollment ID: I20240205001905 |
| Provider Name | Tori N. Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396383980 PECOS PAC ID: 3375982531 Enrollment ID: I20240419003113 |
Symmetry Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2363 James St # 1013, Syracuse, NY 13206 Phone: 312-578-9990 Fax: 312-275-7663 | |
Psychiatry Services Of New York Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3300 James St Ste 100, Syracuse, NY 13206 Phone: 315-422-0300 | |
Buffalo Centre For The Treatment Of Eating Disorders Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455 | |
Central New York Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 W Onondaga St, Suite 10, Syracuse, NY 13202 Phone: 315-478-2030 Fax: 315-478-2250 | |
I-mobile Health Mission Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2849 S Salina St, Syracuse, NY 13205 Phone: 315-422-5690 | |
Sage Marriage And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4317 E Genesee St Ste 202, Syracuse, NY 13214 Phone: 518-400-0313 | |
With Heart With Soul Therapy Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 James Heath Rd, Syracuse, NY 13203 Phone: 315-944-0007 |