| Psychotherapy Associates Of Niagara | |
|
419 Walnut Ave Niagara Falls NY 14301-1725 | |
| (716) 285-1904 | |
| (716) 284-8262 |
| Full Name | Psychotherapy Associates Of Niagara |
|---|---|
| Speciality | Social Worker |
| Location | 419 Walnut Ave, Niagara Falls, New York |
| Authorized Official Name and Position | Louis P Labarber (PRESIDENT) |
| Authorized Official Contact | 7162851904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates Of Niagara 419 Walnut Ave Niagara Falls NY 14301-1725 Ph: (716) 285-1904 | Psychotherapy Associates Of Niagara 419 Walnut Ave Niagara Falls NY 14301-1725 Ph: (716) 285-1904 |
| NPI Number | 1780720110 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739157751 |
|---|---|
| Medicare Enrollment ID | O20040917000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780720110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | RP02665-1 (New York) | Primary |
| Provider Name | John R Castellani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396752606 PECOS PAC ID: 3375553746 Enrollment ID: I20060428000510 |
| Provider Name | David E Skiba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679508840 PECOS PAC ID: 5991702219 Enrollment ID: I20061031000012 |
| Provider Name | Dianna Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073554556 PECOS PAC ID: 3678673993 Enrollment ID: I20070716000089 |
| Provider Name | Robert D Spuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235282534 PECOS PAC ID: 9537230651 Enrollment ID: I20080618000102 |
| Provider Name | Vivian K Gerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386794006 PECOS PAC ID: 0749468551 Enrollment ID: I20110627000473 |
| Provider Name | Louis P Labarber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568576791 PECOS PAC ID: 2365410388 Enrollment ID: I20120110000018 |
| Provider Name | Christopher J Pino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760490072 PECOS PAC ID: 8123289477 Enrollment ID: I20120412000373 |
| Provider Name | Laura E Palmo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811252059 PECOS PAC ID: 5395976849 Enrollment ID: I20140326000314 |
| Provider Name | Christine M Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437565785 PECOS PAC ID: 0345501441 Enrollment ID: I20180307000447 |
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