| Psychological Healthcare, Pllc | |
|
3300 James St Suite 100 Syracuse NY 13206-2387 | |
| (315) 422-0300 | |
| (315) 479-8455 |
| Full Name | Psychological Healthcare, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3300 James St, Syracuse, New York |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, SECRETARY, TREASURER) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Healthcare, Pllc 3300 James St Suite 100 Syracuse NY 13206-2387 Ph: (315) 422-0300 | Psychological Healthcare, Pllc 3300 James St Suite 100 Syracuse NY 13206-2387 Ph: (315) 422-0300 |
| NPI Number | 1922109578 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 7416860572 |
|---|---|
| Medicare Enrollment ID | O20040317000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922109578 | NPI | - | NPPES |
| 01715746 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Julie A Villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841305927 PECOS PAC ID: 5294628681 Enrollment ID: I20040209000187 |
| Provider Name | Antonietta M Chairmonte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134203151 PECOS PAC ID: 7911892831 Enrollment ID: I20040219000360 |
| Provider Name | Barbara B Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710061619 PECOS PAC ID: 8022908680 Enrollment ID: I20040317000981 |
| Provider Name | Marilyn D Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104900026 PECOS PAC ID: 1759378029 Enrollment ID: I20040428001012 |
| Provider Name | Margaret D Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720162670 PECOS PAC ID: 0446222095 Enrollment ID: I20040812000832 |
| Provider Name | Kristen G Rea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730263674 PECOS PAC ID: 2769455849 Enrollment ID: I20040817000636 |
| Provider Name | Jack L Houk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700960663 PECOS PAC ID: 6305811472 Enrollment ID: I20040901000151 |
| Provider Name | Kathleen Ann Cerro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528142536 PECOS PAC ID: 2769451491 Enrollment ID: I20040929001008 |
| Provider Name | Jacquelyn M Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629085402 PECOS PAC ID: 4385696608 Enrollment ID: I20050215000797 |
| Provider Name | Sara Berkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902847668 PECOS PAC ID: 1850338914 Enrollment ID: I20050411001198 |
| Provider Name | Dale W Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053472514 PECOS PAC ID: 1153354519 Enrollment ID: I20050920000462 |
| Provider Name | John F Harkulich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881755312 PECOS PAC ID: 8527091867 Enrollment ID: I20050920000731 |
| Provider Name | John H Wohlers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225112071 PECOS PAC ID: 2264322916 Enrollment ID: I20051024000121 |
| Provider Name | Mary A Finkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760663082 PECOS PAC ID: 3678592144 Enrollment ID: I20051114000830 |
| Provider Name | Mary E Bartek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235177783 PECOS PAC ID: 8325069842 Enrollment ID: I20051213000276 |
| Provider Name | Cynthia J Ackles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972612893 PECOS PAC ID: 4688695976 Enrollment ID: I20051214000630 |
| Provider Name | Jonathan W Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578528667 PECOS PAC ID: 7113026550 Enrollment ID: I20070626000301 |
| Provider Name | Robert J Foresti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003925165 PECOS PAC ID: 4486754033 Enrollment ID: I20070711000517 |
| Provider Name | Kay Levering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649363250 PECOS PAC ID: 1456452317 Enrollment ID: I20070721000061 |
| Provider Name | Ann M Wahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467561035 PECOS PAC ID: 9335236876 Enrollment ID: I20071031000468 |
| Provider Name | Marilyn D Ben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265625016 PECOS PAC ID: 0244329860 Enrollment ID: I20071205000224 |
| Provider Name | David A Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114075884 PECOS PAC ID: 5193719565 Enrollment ID: I20080422000357 |
| Provider Name | Mary Beth Coons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417179250 PECOS PAC ID: 6608955075 Enrollment ID: I20080509000553 |
| Provider Name | Mark A Ginsberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164532271 PECOS PAC ID: 9931278363 Enrollment ID: I20080527000337 |
| Provider Name | Debra S Delvecchio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215103890 PECOS PAC ID: 5799850020 Enrollment ID: I20080820000450 |
| Provider Name | Maryann Y Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831169051 PECOS PAC ID: 8224192778 Enrollment ID: I20090127000653 |
| Provider Name | David A Cannucciari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063746261 PECOS PAC ID: 9335288539 Enrollment ID: I20091201000537 |
| Provider Name | Gary P Weinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922323898 PECOS PAC ID: 8820114770 Enrollment ID: I20100928001112 |
| Provider Name | Denise Frampton-pearsall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295821619 PECOS PAC ID: 5991821753 Enrollment ID: I20100929000827 |
| Provider Name | Douglas D Goldschmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770539496 PECOS PAC ID: 8527046036 Enrollment ID: I20110126000615 |
| Provider Name | Felicie Meling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023111366 PECOS PAC ID: 5799967543 Enrollment ID: I20110315000799 |
| Provider Name | Monique M Winnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649319203 PECOS PAC ID: 3476721440 Enrollment ID: I20110718000505 |
| Provider Name | Mark E Nowakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598891442 PECOS PAC ID: 1658541867 Enrollment ID: I20110825000647 |
| Provider Name | Lisa E Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396829297 PECOS PAC ID: 7719159524 Enrollment ID: I20111019000891 |
| Provider Name | Joel L Richman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265516108 PECOS PAC ID: 8628968377 Enrollment ID: I20111019000911 |
| Provider Name | Panayotis L Petrou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144304072 PECOS PAC ID: 1153593967 Enrollment ID: I20111019000921 |
| Provider Name | Debbie S Bates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417031568 PECOS PAC ID: 0143492983 Enrollment ID: I20111020000382 |
| Provider Name | James Richard Dodd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821172859 PECOS PAC ID: 4082887773 Enrollment ID: I20111025000102 |
| Provider Name | Lenore L Griffiths |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205910262 PECOS PAC ID: 1254504947 Enrollment ID: I20111025000113 |
| Provider Name | Pamela A Spearman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881778736 PECOS PAC ID: 2365615010 Enrollment ID: I20111026000016 |
| Provider Name | Ronald C Fish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942384987 PECOS PAC ID: 0547150294 Enrollment ID: I20111026000156 |
| Provider Name | Sara J Paolini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114202298 PECOS PAC ID: 3971762881 Enrollment ID: I20120313000625 |
| Provider Name | Nadine M Cuffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073861969 PECOS PAC ID: 7012167703 Enrollment ID: I20121015000229 |
| Provider Name | Joel R Morse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306981212 PECOS PAC ID: 5799938718 Enrollment ID: I20121226000251 |
| Provider Name | Gregg M Engel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932350279 PECOS PAC ID: 4284797812 Enrollment ID: I20140203000078 |
| Provider Name | Shannon K Birmingham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336428259 PECOS PAC ID: 5395961668 Enrollment ID: I20140722001646 |
| Provider Name | Kelly A Hershey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780782227 PECOS PAC ID: 3274857958 Enrollment ID: I20150129000953 |
| Provider Name | Anna M Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295985356 PECOS PAC ID: 8820317852 Enrollment ID: I20150814012728 |
| Provider Name | Madge E Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821489709 PECOS PAC ID: 0042511636 Enrollment ID: I20151228000890 |
| Provider Name | Cheryl L Loomis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336539527 PECOS PAC ID: 3173825759 Enrollment ID: I20160311001782 |
| Provider Name | Marianne S Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538367826 PECOS PAC ID: 7012215536 Enrollment ID: I20160418001372 |
| Provider Name | Kelly Corbine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720396500 PECOS PAC ID: 0547495715 Enrollment ID: I20160603001315 |
| Provider Name | Gerald Matthew Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346688298 PECOS PAC ID: 5294027090 Enrollment ID: I20160715000428 |
| Provider Name | Nora E Ferraldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497111058 PECOS PAC ID: 0749573368 Enrollment ID: I20160720000249 |
| Provider Name | Rebecca A Gavett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841674553 PECOS PAC ID: 7517251853 Enrollment ID: I20160809001418 |
| Provider Name | Oshika M Whittaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295184646 PECOS PAC ID: 1658666334 Enrollment ID: I20160819000236 |
| Provider Name | Marisa B De La Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699832576 PECOS PAC ID: 4789963380 Enrollment ID: I20161123001046 |
| Provider Name | Kelly H Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649640764 PECOS PAC ID: 8426339482 Enrollment ID: I20170105001080 |
| Provider Name | Bridget J Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831431196 PECOS PAC ID: 0547542235 Enrollment ID: I20170112001208 |
| Provider Name | David S Gandino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851568208 PECOS PAC ID: 2163790676 Enrollment ID: I20170623001512 |
| Provider Name | Laurie Beth Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225442874 PECOS PAC ID: 5597024489 Enrollment ID: I20180123001055 |
| Provider Name | Brittany J Rigoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902144439 PECOS PAC ID: 2860753746 Enrollment ID: I20180312000730 |
| Provider Name | Darcey J Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972834208 PECOS PAC ID: 2567701261 Enrollment ID: I20190225000826 |
| Provider Name | Jane E Higham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164796652 PECOS PAC ID: 9830430370 Enrollment ID: I20190409003285 |
| Provider Name | Laura G Myhr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356714273 PECOS PAC ID: 7214266782 Enrollment ID: I20190909001897 |
| Provider Name | Anne E Helfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144766999 PECOS PAC ID: 3577894781 Enrollment ID: I20191018000975 |
| Provider Name | Catherine Amory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962675629 PECOS PAC ID: 5991136988 Enrollment ID: I20200506002702 |
| Provider Name | Karen Stocker Laquidari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477174373 PECOS PAC ID: 5395166532 Enrollment ID: I20200526002888 |
| Provider Name | Elizabeth C Santilli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699122465 PECOS PAC ID: 9234557265 Enrollment ID: I20200908002457 |
| Provider Name | Shane T Whalen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457715310 PECOS PAC ID: 8729407838 Enrollment ID: I20200923000579 |
| Provider Name | Ashraf Khater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366067753 PECOS PAC ID: 8527488220 Enrollment ID: I20201019002752 |
| Provider Name | Suzanne A O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841898178 PECOS PAC ID: 7618137480 Enrollment ID: I20210218001550 |
| Provider Name | Elisabeth L Holbein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053858043 PECOS PAC ID: 6507272903 Enrollment ID: I20210310000686 |
| Provider Name | Pamela E Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366860710 PECOS PAC ID: 2062801814 Enrollment ID: I20211116002340 |
| Provider Name | Jennifer S Pugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851960918 PECOS PAC ID: 9032502596 Enrollment ID: I20220204000043 |
| Provider Name | Sarah Personius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487011300 PECOS PAC ID: 9436517406 Enrollment ID: I20230623000169 |
| Provider Name | Heather R Nower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114092319 PECOS PAC ID: 8729447156 Enrollment ID: I20230703002822 |
| Provider Name | Dayanara Vazquez Comas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194419622 PECOS PAC ID: 8426418229 Enrollment ID: I20230712000574 |
| Provider Name | Catherine B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588840037 PECOS PAC ID: 4880011501 Enrollment ID: I20230804003096 |
| Provider Name | Jonathan D Moe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053653246 PECOS PAC ID: 2860829165 Enrollment ID: I20240118001959 |
| Provider Name | Derek J Wittman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952746141 PECOS PAC ID: 8022460765 Enrollment ID: I20240118002804 |
| Provider Name | David Jay Snow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861813081 PECOS PAC ID: 8426491481 Enrollment ID: I20240206003759 |
| Provider Name | Samantha Elaine Golden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336703859 PECOS PAC ID: 5496198244 Enrollment ID: I20240208001391 |
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 |